MTV Europe Music Award for Best Alternative

The MTV Europe Music Award for Best Alternative has been awarded since 1997.

Winners and nominees
Winners are listed first and highlighted in bold.


 * † indicates an MTV Video Music Award for Best Alternative Video–winning artist.
 * ‡ indicates an MTV Video Music Award for Best Alternative Video–nominated artist that same year.

Hayley Williams of Paramore and Lana Del Rey are the only female artists that have won more than once.