- Toby Keith - American Ride
- Carrie Underwood - Cowboy Cassanova-WINNER
- Lady Antebellum - Need You Now
- Kenny Chesney - Out Last Night
- Jason Aldean - The Truth
- Keith Urban - 'Til Summer Comes Around
- Zac Brown Band - Toes
- Brad Paisley - Welcome To the Future
- Miranda Lambert - White Liar
- Taylor Swift - You Belong With Me
Male Video of the Year
- Toby Keith - American Ride
- Billy Currington - People Are Crazy
- Tim McGraw - Southern Voice
- Jason Aldean - The Truth
- Keith Urban - 'Til Summer Comes Around
Female Video of the Year
- Reba McEntire - Consider Me Gone
- Carrie Underwood - Cowboy Cassanova
- Miranda Lambert - White Liar-WINNER - Her 1st "Buckle"
- Taylor Swift - You Belong With Me
Group Video of the Year
- Rascal Flatts - Here Comes Goodbye
- Gloriana - How Far Do You Wanna Go?
- Lady Antebellum - Need You Now-WINNER
- Zac Brown Band - Toes
Duo Video of the Year
- Brooks & Dunn - Indian Summer-WINNER
- Steel Magnolia - Keep On Lovin' You
- Sugarland - Keep You
- Sugarland - Nightswimming/Joey
USA Weekend Breakthrough Video of the Year
- Easton Corbin - A Little More Country Than That
- Luke Bryan - Do I-WINNER
- Laura Bell Bundy - Giddy On Up
- Steel Magnolia - Keep On Lovin' You
Collaborative Video of the Year
- Kellie Pickler f/ Taylor Swift - Best Days of Your Life
- Jason Aldean f/ Bryan Adams - Heaven (from CMT Crosswords)
- Blake Shelton f/ Trace Adkins - Hillbilly Bone - WINNER
- Kenny Chesney f/ Dave Matthews - I'm Alive
CMT Performance of the Year
- Reba McEntire - Consider Me Gone (from Invitation Only: Reba)
- Lady Antebellum - Lookin' For a Good Time (from 2009 CMT Music Awards)
- Tim McGraw - Southern Voice (from Invitation Only: Tim McGraw)
- Carrie Underwood - Temporary Home (from Invitation Only: Carrie Underwood) - WINNER
- Brad Paisley - Then (from 2009 CMT Music Awards)
Nationwide Insurance On Your Side Award
- Ryan Bingham
- Randy Houser
- Justin Moore
- Chris Young - WINNER