The 2004 MTV Europe Music Awards were held at Tor di Valle Racecourse, Rome, Italy.

As in 2003, the awards ceremony was held in a 6,000-capacity big top arena constructed specifically for the main event, called Valhalla Tensile 1, designed by Master Tentmaker Rudi Enos.

[1] Award presenters on the night included Jamelia, Alicia Keys, N.E.R.D, Naomi Campbell, Andre 3000, Kid Rock and Kanye West.

The Black Eyed Peas La Strada Winners are in bold text.

Kane Jenifer Beatsteaks Tiziano Ferro The Hives Sistars Da Weasel Ombladon (featuring Raku) Zveri Enrique Bunbury