The objective of this experiment was to determine the effects of dietary crude protein (CP) content and crystalline amino acids (CAA) supplementation patterns on the growth performance of weaned pigs under clean (CSC) or unclean sanitary conditions (USC). One hundred forty-four piglets (6.35 ± 0.63 kg BW) were housed under CSC or USC for 3 wk and assigned to 1 of 3 diets: a high CP (HCP; 21%) and two low CP (LCP; 18%) diets supplemented with 10 crystalline indispensable amino acids (IAA) to meet all IAA requirements or only 6 IAA (Lys, Met, Thr, Trp, Val, and Ile) to meet IAA requirements except Leu, His, and Phe. Each treatment had 8 replicates (3 pigs per pen) per sanitary condition. The CSC room was cleaned and washed weekly. For the USC room, sow manure was spread and remained unwashed. Data were analyzed using the MIXED procedure of SAS with orthogonal polynomial contrasts. Pigs raised under USC had reduced (P < 0.05) ADG and G:F in wk 2, but overall, no difference was found between sanitary conditions due to contrary results in wk 3. Overall, ADG and ADFI were not affected but G:F tended (P < 0.10) to be lower for USC pigs. Also, G:F did not differ between HCP (0.79) and LCP (0.81) under CSC, however, LCP interactively decreased (P < 0.05) G:F to 0.75 compared to 0.83 in HCP under USC. The CAA supplementation patterns did not influence growth except reduced (P < 0.05) ADFI in wk 3. Pigs fed the HCP diet had higher (P < 0.05) fecal scores throughout the experiment than those fed LCP diets under both sanitary conditions. In conclusion, overall growth performance did not differ between HCP and LCP under CSC, but LCP diets reduced G:F under USC. The fecal score decreased in LCP diets regardless of sanitary conditions.