Lil Nas X : Tofauti kati ya masahihisho
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| Aliteuliwa
| style="text-align:center;" rowspan="9"|<ref>{{Cite news|url=https://www.billboard.com/articles/news/awards/8528388/2019-mtv-vmas-winners-list |title=Here Are All the Winners From the 2019 MTV VMAs|date=August 26, 2019|work=Billboard|access-date=August 29, 2019}}</ref>
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| rowspan="8"| "Old Town Road" {{small|(pamoja na Billy Ray Cyrus)}}
| Video of the Year
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| Song of the Year
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| Best Collaboration
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| Best Hip-Hop Video
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| Song of Summer
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| Best Direction
| {{won}}
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