Judging Round: This round focused on evaluating contestants based on symmetry, muscularity, and conditioning.
Finals Round: This included the posing routines, where contestants showcased their presentation, creativity, and stage presence, followed by the final posedown.
Andrea Shaw won her 4th Ms. Olympia consecutively, beating Sergio Oliva and Frank Zane's record three consecutive Ms. Olympia wins and tying with Kim Chizevsky-Nicholls' record four consecutive Ms. Olympia wins, along with Jay Cutler's record four Mr. Olympia wins.
This contest had only 10 contestants competing, the fewest contestants competing in Ms. Olympia ever. The reason for this is because of the removal of the point system for the 2023 Olympia Qualification System, along with Helle Trevino and Kristina Mendoza dropping out of attending the contest.[4]
The 2023 Ms. Olympia attracted over 700,000 viewers across various streaming platforms, marking it as one of the most-watched Ms. Olympia contests ever. The 2023 Ms. Olympia saw an attendance of approximately 6,500 spectators, with approximately 3,000 attendees for the prejudging and approximately 3,500 attendees for the finals, with approximately 4,000 paid tickets sold.