| Year | Miss Nepal | 1st Runner-Up | 2nd Runner-Up | ||
| 2015 | Evana Manandhar | Dibyata Vaidya | Medha Koirala | ||
| 2014 | Subin Limbu | Prinsha Shrestha (Dethroned) | Sonie Rajbhandari (assumed as Miss Nepal Earth) | ||
| 2013 | Ishani Shrestha | Rojisha Shahi | Shritima Shah | ||
| 2012 | Shristi Shrestha | Nagma Shrestha | Subekshya Khadka | ||
| 2011 | Malina Joshi | Anupama Aura Gurung | Sarina Maskey | ||
| 2010 | Sadichha Shrestha | Sahana Bajracharya | Sanyukta Timsina | ||
| 2009 | Zenisha Moktan | Richa Thapa Magar | Kunchhang Moktan Tamang | ||
| 2008 | Pageant wasn't held | ||||
| 2007 | Sitashma Chand | Bandana Sharma | Shewta Shah | ||
| 2006 | Pageant wasn't held | ||||
| 2005 | Sugarika Kshatriya-Chhetri | Shavona Shrestha | Ayushma Pokharel | ||
| 2004 | Payal Shakya | Sarah Gurung | Anita Gurung | ||
| 2003 | Priti Sitoula | Prerana Shah | Numa Rai | ||
| 2002 | Malvika Subba | Pinky Shah | Lhama Yangchen Sherpa | ||
| 2001 | Pageant wasn't held | ||||
| 2000 | Usha Khadgi | Biva Maya Ranjeet | Jasmine Shrestha | ||