Outstanding Reality-Competition Program is a Primetime Emmy Award given out during the primetime telecast since 2003.

The Amazing Race has won the award every year it has existed (a total of 7 consecutive years). Likewise, American Idol has been nominated every year since the category's inception.

In the following list, the first titles listed are winners, these are also in bold and in blue background; those not in bold are nominees, which are listed in alphabetical order. The years given are those in which the ceremonies took place.