The following is a list of the MTV Europe Music Award winners and nominees for Best Italian Act.
Winners are listed first and highlighted in bold.
| Year | Artist | Ref |
|---|---|---|
| 1994 | Irene Grandi [a] | [1] |
| 1998 | ||
| Bluvertigo [b] | [2] | |
| 99 Posse | ||
| Articolo 31 | ||
| Ligabue | ||
| Vasco Rossi | ||
| 1999 | ||
| Elio e le Storie Tese | [3] | |
| Alex Britti | ||
| Jovanotti | ||
| Negrita | ||
| Vasco Rossi |
| Year | Artist | Ref |
|---|---|---|
| 2010 | ||
| Marco Mengoni | [14] | |
| Dari | ||
| Malika Ayane | ||
| Nina Zilli | ||
| Sonohra | ||
| 2011 | ||
| Modà | [15] [16] | |
| Fabri Fibra | ||
| Jovanotti | ||
| Negramaro | ||
| Verdena | ||
| 2012 | ||
| Emis Killa | [17] | |
| Cesare Cremonini | ||
| Club Dogo | ||
| Giorgia | ||
| Marracash | ||
| 2013 | ||
| Marco Mengoni | [18] [19] | |
| Emma | ||
| Fedez | ||
| Max Pezzali | ||
| Salmo | ||
| 2014 | ||
| Alessandra Amoroso | [20] [21] | |
| Caparezza | ||
| Club Dogo | ||
| Emis Killa | ||
| Giorgia | ||
| Pre-nominations: | ||
| 2015 | ||
| Marco Mengoni | [22] [23] [24] | |
| Fedez | ||
| J-Ax | ||
| Tiziano Ferro | ||
| The Kolors † | ||
| Pre-nominations: | ||
| 2016 | ||
| Benji & Fede | [25] [26] [27] | |
| Alessandra Amoroso | ||
| Emma | ||
| Francesca Michielin | ||
| Salmo | ||
| Pre-nominations: | ||
| 2017 | ||
| Ermal Meta | [28] | |
| Fabri Fibra | ||
| Tiziano Ferro | ||
| Francesco Gabbani | ||
| Thegiornalisti | ||
| 2018 | ||
| Annalisa | [29] | |
| Calcutta | ||
| Liberato | ||
| Ghali | ||
| Shade † | ||
| Pre-nominations: | ||
| 2019 | ||
| Mahmood | [30] | |
| Elodie | ||
| Coez | ||
| Salmo | ||
| Elettra Lamborghini † | ||
| Pre-nominations: |