Dibawah ini merupakan pemenang MTV Video Music Award untuk Best Art Direction in a Video. Red Hot Chili Peppers adalah pemenang terbanyak dengan memenangkan pada tahun 1992, 2000, dan 2006.
| Tahun | Artis | Video | Sutradara |
|---|---|---|---|
| 1984 | Herbie Hancock | "Rockit" | Jim Whiting and Godley & Creme |
| 1985 | Don Henley | "The Boys of Summer" | Bryan Jones |
| 1986 | ZZ Top | "Rough Boy" | Ron Cobb |
| 1987 | Peter Gabriel | "Sledgehammer" | Stephen R. Johnson, Stephen Quay, and Timothy Quay |
| 1988 | Squeeze | "Hourglass" | Clive Crotty and Mick Edwards |
| 1989 | Madonna | "Express Yourself" | Holgar Gross and Vance Lorenzini |
| 1990 | The B-52's | "Love Shack" | Martin Lasowitz |
| 1991 | R.E.M. | "Losing My Religion" | Jose Montana |
| 1992 | Red Hot Chili Peppers | "Give It Away" | Nick Goodman |
| 1993 | Madonna | "Rain" | Jan Peter Flack |
| 1994 | Nirvana | "Heart-Shaped Box" | Bernadette Disanto |
| 1995 | Michael Jackson and Janet Jackson | "Scream" | Tom Foden |
| 1996 | The Smashing Pumpkins | "Tonight, Tonight" | K. K. Barrett and Wayne White |
| 1997 | Beck | "The New Pollution" | K. K. Barrett |
| 1998 | Björk | "Bachelorette" | Donovan Davidson |
| 1999 | Lauryn Hill | "Doo Wop (That Thing)" | Gideon Ponte |
| 2000 | Red Hot Chili Peppers | "Californication" | Colin Strause |
| 2001 | Fatboy Slim | "Weapon of Choice" | Val Wilt |
| 2002 | Coldplay | "Trouble" | Tim Hope |
| 2003 | Radiohead | "There There" | Chris Hopewell |
| 2004 | OutKast | "Hey Ya!" | Eric Beauchamp |
| 2005 | Gwen Stefani | "What You Waiting For?" | Zach Matthews |
| 2006 | Red Hot Chili Peppers | "Dani California" | Justin Dragonis |
| 2007 | no award | ||
| 2008 | Gnarls Barkley | "Run" | Happy Massee and Kells Jesse |
| 2009 | Lady Gaga | "Paparazzi" | Jason Hamilton |
| 2010 | Florence and the Machine | "Dog Days Are Over" | Louise Corcoran and Aldene Johnson |