Los premios Primetime Emmy al mejor reality de competición (Primetime Emmy Award for Outstanding Reality-Competition Program) es uno de los premios Primetime Emmy. The Amazing Race ganó en todos sus años de existencia. Supervivientes yAmerican Idol han sido nominados, perdiendo cuatro veces consecutivas.

Ganadores

• 2003:
  • 100 Years Of Hope And Humor (NBC)
  • AFI's 100 Years ... 100 Passions (CBS)
  • American Idol (FOX)
  • Supervivientes (CBS)
  • The Amazing Race (CBS)

• 2004:
  • American Idol (FOX)
  • Last Comic Standing (NBC)
  • Supervivientes (CBS)
  • The Amazing Race (CBS)
  • The Apprentice (NBC)

• 2005:
  • American Idol (FOX)
  • Project Runway (Bravo)
  • Supervivientes (CBS)
  • The Amazing Race (CBS)
  • The Apprentice (NBC)

• 2006:
  • The Amazing Race (CBS)
  • American Idol (FOX)
  • Dancing with the Stars (ABC)
  • Project Runway (Bravo)
  • Supervivientes (CBS)

• 2007:
  • The Amazing Race (CBS)
  • American Idol (FOX)
  • Dancing with the Stars (ABC)
  • Project Runway (Bravo)
  • Top Chef (Bravo)

• 2008:
  • The Amazing Race (CBS)
  • American Idol (FOX)
  • Dancing with the Stars (ABC)
  • Project Runway (Bravo)
  • Top Chef (Bravo)