| Date: | July 29, 2019 |
| Venue: | Marshal Convention Center, Asunción |
| Entrants: | 16 |
| Placements: | 10 |
| Winner: | Milena Rodríguez Itapúa |
| Before: | 2018 |
| Next: | 2021 |
Miss Grand Paraguay 2019 was the 3rd edition of the Miss Grand Paraguay pageant, held on July 29, 2019, at the Marshal Convention Center, Asunción.[1] Sixteen national aspirants either chosen through regional pageant or central casting competed for the title, of whom the representative of Itapúa, Milena Rodríguez, was named the winner.[2] [3] She later represented Paraguay at the Miss Grand International 2019 pageant in Venezuela and was placed among the top 20 finalists.[4]
| Final results | Contestant | |
|---|---|---|
| Miss Grand Paraguay 2019 |
| |
| 1st Runner-Up |
| |
| 2nd Runner-Up |
| |
| 3rd Runner-Up |
| |
| 4th Runner-Up |
| |
| Top 10 |
|
16 contestants competed for the title.[5]
| width=200 | State | width=200 | Contestans |
|---|---|---|---|
| Amambay | Támara Dutra Córdoba | ||
| Arroyos y Esteros | Sol María Sánchez | ||
| Asunción | Paloma Martins Reidl | ||
| Caaguazú | Venus Calvo | ||
| Capiatá | Sol María Pavón | ||
| Carapeguá | Pamela Britez | ||
| Ciudad del Este | Silvana Duarte Romero | ||
| Coronel Oviedo | Brenda Flecha | ||
| Fdo. De la Mora | María Eugenia Mora | ||
| Itapúa | Milena Rodríguez | ||
| Lambaré | Melina Belén Aguayo | ||
| Mariano Roque Alonso | Clara Berni Prette | ||
| Nueva Italia | Lujan Mendoza | ||
| San Lorenzo | Elena Olevar | ||
| San Pedro | Sabrina Samudio | ||
| Villa Elisa | Diana Rojas |