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The following is a list of the MTV Europe Music Award winners and nominees for Best Alternative.
| Year | Winner | Nominees |
|---|---|---|
| 1997 | The Prodigy |
| Year | Winner | Nominees |
|---|---|---|
| 2002 | see MTV EMA for Best Hard Rock | |
| 2004 | Muse | |
| 2005 | System Of A Down | |
| 2006 | Muse | |
| 2009 | Placebo |
| Year | Winner | Nominees |
|---|---|---|
| 2010 | Paramore | |
| 2011 | Thirty Seconds to Mars | |
| 2012 | Lana Del Rey | |
| 2013 | Thirty Seconds to Mars | |
| 2014 | Thirty Seconds to Mars | |
| 2015 | Lana Del Rey |
| Years | |
|---|---|
| Main categories |
|
| Regional and worldwide categories | |
| Defunct categories |
|
| Special Awards | |
| Nominations by nationality of artist | |
