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=Ciudad del Este=

Miss Grand Ciudad del Este also known as Miss Grand CDE is a Paraguayan city-level beauty pageant, founded in 2021, to selects representatives from Ciudad del Este for the Miss Grand Paraguay national competition. Before the establishment of the pageant, Ciudad del Este representatives at Miss Grand Paraguay were all appointed.

Since the first competition in the Miss Grand Paraguay pageant, Ciudad del Este's representative won the main title once; in 2022, won by a model Agatha Leon.

Editions
The following table details Miss Grand Ciudad del Este's annual editions since 2019.

National competition
The following is a list of Ciudad del Este representatives who competed in the Miss Grand Paraguay pageant.

History
Asunción has participated in the Miss Grand Paraguay pageant since the first national edition in 2018. Its first representative, Clara Sosa, was determined through the regional contest named Reina Asunción Universo, where the main winner was sent to compete at the Miss Universe Paraguay pageant. Later in 2022, the right to send Asunción candidate to compete nationally in Miss Grand Paraguay was granted to a local organizer named Javier Casco Producciones headed by Javier Casco and the first Miss Grand Asunción contest was held in that year.

However, Javier Casco Producciones later renamed the pageant "Reinas de Asunción" the following year, when the city representative for the Miss Grand Paraguay and Miss Supranational Paraguay national pageants were elected in the same event.

Editions
The following table details Miss Grand Asunción's annual editions since 2022.

National competition
The following is a list of Asunción representatives who competed in the Miss Grand Paraguay pageant.

Editions
The following table details Miss Grand Asunción's annual editions since 2022.

National competition
The following is a list of Asunción representatives who competed in the Miss Grand Paraguay pageant.