Contestants from Derby, Nottingham, Leicester and Northampton compete for the regional prize, following an enlightening carnival arts performance on the main stage in the first half.

Every year, the East Midlands Caribbean Carnival Queen Show provides a platform for costumed bands in the region to showcase their artistic abilities and talent. Presented as a stage show, it rotates around theatres and venues in each carnival city every year. To date the Queen Show has been presented at Derby Theatre, Spinney Theatre in Northampton, Nottingham Playhouse and the Peepul Centre in Leicester.

Next years King & Queen show will be hosted by Northampton Carnival.