Such contests were usually done in jest, and votes were more reflective of popularity rather than actual physical unattractiveness.
In Australia, a 1917 ugly man competition led to the formation of the Ugly Men's Voluntary Worker's Association of Western Australia Inc., a grassroots charitable organization which raised funds to help soldiers and their families in the aftermath of World War I.
[1][4] Ugly man contests were regularly held on college campuses in the United States by fraternities, including Alpha Phi Omega, the largest fraternity in the United States.
The APO tradition began at Georgia Tech, and by 1953 had spread to nearly every chapter in the country.
The incident caused controversy on campus, and led the dean to suspend the fraternity for two years, though this punishment was later overturned by a federal judge on First Amendment grounds.