The awards burst into life with a performance by Green Day, followed by host Katy Perry's mash-up of the five Best Song contenders, including Beyonce's hit Halo and Kings of Leon's Use Somebody.
The event is one of the music world's most glitzy bashes and was held in Berlin to mark the 20th anniversary of the fall of the Berlin Wall, a potent Cold War symbol.
Another highlight was a live show by U2, who scooped Best Live Act, scoring their third EMA award win since the MTV Europe Music Awards began in 1994. They performed One - the anthem inspired by the fall of the Berlin Wall in 1989 - just yards away from the ceremony at the Brandenburg Gate.
Eminem won the Best Male category, beating Robbie Williams and Mika among others. Williams was due to attend the event but pulled out due to a "schedule clash".
Best World Stage Performance was won by Linkin Park, who triumphed over Coldplay and other acts, while Pixie Lott was pronounced the first ever MTV Push Artist.
Lady Gaga, who was not at the ceremony, was named Best New Act, beating La Roux and Daniel Merriweather.
Green Day won the Best Rock prize and Placebo beat British hopes Muse and The Prodigy to win the Best Alternative prize.
Lady Gaga and Kings of Leon had led the nominations, with five apiece. Kings of Leon failed to pick up any awards.
Host Perry lost out to Beyonce twice - in the Best Female and Best Video categories
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