The MTV Video Music Award for Best Video Game Score was only given out in 2006 as a complement to the Best Video Game Soundtrack award. With the 2007 revamp of the VMAs, this award was eliminated and never brought back.

Winners Year Score Winner Nominees Ref.The Elder Scrolls IV: OblivionJeremy Soule Dreamfall: The Longest Journey – Leon Willett Electroplankton – User Generated Soundtrack Hitman: Blood Money – Jesper Kyd Ghost Recon: Advanced Warfighter – Tom Salta

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