1978 Mr Physique USA - AAU
| Overall Winner John Kemper | |
Tall | |
| 1 | John Kemper |
| 2 | Louis Pirrello |
| 3 | Dusty Caldwell |
| 4 | John Noble |
| 5 | Tony Martinez |
Medium | |
| 1 | Gary Priccaciante |
| 2 | Peter Ruffin |
| 3 | Albertus Kelement |
| 4 | Richard Boyle |
| 5 | Steve Longo |
Short | |
| 1 | Joseph Panarisi |