The thirteenth annual MTV Movie Awards were presented June 6, 2004.
| Best Movie | The Lord of the Rings: The Return of the King |
| Best Male Performance | Johnny Depp, Pirates of the Caribbean: The Curse of the Black Pearl |
| Best Female Performance | Uma Thurman, Kill Bill, Vol. 1 |
| Best Comedic Performance | Jack Black, School of Rock |
| Best Onscreen Team | Adam Sandler and Drew Barrymore, 50 First Dates |
| Best Breakthrough Male Performance | Shawn Ashmore, X2: X-Men United |
| Best Breakthrough Female Performance | Lindsay Lohan, Freaky Friday |
| Best Villain | Lucy Liu, Kill Bill, Vol. 1 |
| Best Action Sequence | Battle at Gondor, The Lord of the Rings: The Return of the King |
| Best Fight | Uma Thurman vs. Chiaki Kuriyama, Kill Bill, Vol. 1 |
| Best Kiss | Owen Wilson, Carmen Electra, and Amy Smart, Starsky & Hutch |
| Best Dance Sequence | Seann William Scott, American Wedding |
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