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. |
|---|---|---|---|---|
| 2006 | The Elder Scrolls IV: Oblivion | Jeremy Soule |
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