Titleholders
- Color key
- Declared as Winner
- Ended as runner-up
- Ended as one of the finalists or semifinalists
The winner of Miss Terra Italia represents her country at Miss Earth. On occasion, when the winner does not qualify (due to age) for either contest, a runner-up is sent.
| Year | Miss Terra Italia | Region | Placement | Special Awards |
|---|---|---|---|---|
| 2001 | Monica Rosetti | Milan | Unplaced | |
| Did not compete between 2002-2005 | ||||
| 2006 | Maria Lucia Leo | Lazio | Unplaced | Miss Friendship |
| 2007 | Bernadette Mazzu | Lombardy | Unplaced | |
| 2008 | Caterina Pasquale | Calabria | Unplaced | |
| 2009 | Luna Voce | Calabria | Unplaced | |
| 2010 | Ilenia Arnolfo | Piedmont | Top 14 | Top 18 Miss Talent |
| 2011 | Angelica Parisi | Piedmont | Unplaced | |
| 2012 | Giulia Capuani | Lombardy | Top 16 |  Environmental Seminar "Most Sociable" Miss Friendship (Group 3) |
| 2013 | Debora Bon | Veneto | Unplaced | |
| 2014 | Beatrice Valente | Tuscany | Unplaced | |
| 2015 | Aurora Pienagoda | Veneto | Unplaced | |
| 2016 | Denise Frigo | Veneto | Top 16 | Evening Gown (Group 2) |
| 2017 | Fabiana Enrica Barra | Veneto | Unplaced | National Costume (Western Europe) |
| 2018 | Sofia Pavan | Veneto | Top 8 | Long Gown (Water group) National Costume (Western Europe) Resorts Wear (Water group) |
| 2019 | Letizia Percoco | Lombardy | Unplaced | |
| 2020 | Giulia Ragazzini | Lazio | Unplaced | |
| 2021 | Federica Rizza | Formia | Unplaced | |
| Did not compete between 2022-2023 | ||||
| 2024 | Egle Fruttauro [1] | Campania | Unplaced | |
| 2025 | Natalia Guglielmo [2] | Sicily | Top 25 | |