He was given the lifetime achievement award.
During his rambling speech he said "I have decided in 2020 to run for president."
Taylor Swift won video of the year for Bad Blood.
She also took best pop video for Blank Space.
Cheered on by his wife Kim Kardashian, Kanye got an extended standing ovation when he was picking up the Video Vanguard lifetime achievement award.
He also appeared to confess to smoking weed before taking the stage.
"I will die for the art, for what I believe in and I ain't always gonna be polite.
"I rolled up a little something. I got the answer. We're the millennials bro."
Taylor Swift was crowned queen of the MTV Video Music Awards.
She won four of her 10 nominations, including Video of the Year for "Bad Blood" with Kendrick Lamar and Best Pop Video for "Blank Space."
She also buried the hatchet with rapper Nicki Minaj, embracing her former rival on stage during a brief version of Bad Blood.
The show was hosted by Miley Cyrus.
She released her new album for free after coming off stage.
Source: BBC