MTV Video Music Award de la meilleure réalisation
# MTV Video Music Award de la meilleure réalisation

Cette catégorie récompense le meilleur réalisateur de clip de l'année au MTV Video Music Awards.

Voici la liste des gagnants dans cette catégorie aux MTV VMA's depuis 1984.

| Année | Artiste | Clip | Réalisateur |
| - | - | - | - |
| 1984 | ZZ Top | "Sharp Dressed Man" | Tim Newman |
| 1985 | Don Henley | "The Boys of Summer" | Jean-Baptiste Mondino |
| 1986 | a-ha | "Take On Me" | Steve Barron |
| 1987 | Peter Gabriel | "Sledgehammer" | Stephen R. Johnson |
| 1988 | George Michael | "Father Figure" | Andy Morahan & George Michael |
| 1989 | Madonna | "Express Yourself" | David Fincher |
| 1990 | Madonna | "Vogue" | David Fincher |
| 1991 | R.E.M. | "Losing My Religion" | Tarsem Singh |
| 1992 | Van Halen | "Right Now" | Mark Fenske |
| 1993 | Pearl Jam | "Jeremy" | Mark Pellington |
| 1994 | R.E.M. | "Everybody Hurts" | Jake Scott |
| 1995 | Weezer | "Buddy Holly" | Spike Jonze |
| 1996 | The Smashing Pumpkins | "Tonight, Tonight" | Jonathan Dayton & Valerie Faris |
| 1997 | Beck | "The New Pollution" | Beck Hansen |
| 1998 | Madonna | "Ray of Light" | Jonas Åkerlund |
| 1999 | Fatboy Slim | "Praise You" | Spike Jonze & Roman Coppola |
| 2000 | Red Hot Chili Peppers | "Californication" | Jonathan Dayton & Valerie Faris |
| 2001 | Fatboy Slim | "Weapon of Choice" | Spike Jonze |
| 2002 | Eminem | "Without Me" | Joseph Kahn |
| 2003 | Coldplay | "The Scientist" | Jamie Thraves |
| 2004 | Jay-Z | "99 Problems" | Mark Romanek |
| 2005 | Green Day | "Boulevard of Broken Dreams" | Samuel Bayer |
| 2006 | Gnarls Barkley | "Crazy" | Robert Hales |
| 2007 | Justin Timberlake | "What Goes Around...Comes Around" | Samuel Bayer |
| 2008 | Erykah Badu | "Honey" | Erykah Badu et Mr. Roboto |
| 2009 | Green Day | "21 Guns" | Marc Webb |
| 2010 | Lady Gaga | "Bad Romance" | Francis Lawrence |
| 2011 | Adele | "Rolling in the Deep" | Sam Brown |
| 2012 | M.I.A. | "Bad Girls" | Romain Gavras |
| 2014 | DJ Snake et Lil Jon | "Turn Down for What" | DANIELS |
| 2015 | Kendrick Lamar | "Alright" | Colin Tilley & The Little Hormies |
| 2016 | Beyoncé | "Formation" | Melina Matsoukas |
| 2017 | Kendrick Lamar | "Humble" | Dave Meyers & The Little Homies |
| 2018 | Childish Gambino | "This Is America" | Hiro Murai |
| 2019 | Lil Nas X ft. Billy Ray Cyrus | "Old Town Road" | Calmatic |
| 2020 | Taylor Swift | "The Man" | Taylor Swift |
| 2021 | Lil Nas X | "Montero (Call Me by Your Name)" | Lil Nas X & Tanu Muino |
