| Year: 2004 |
| Best Album | Keane - "Hopes And Fears" |
| Best Single | Jamelia - "See It In A Boy's Eyes" |
| Best Live Act | Muse |
| Best Video | Franz Ferdinand - "Take Me Out" |
| Best Act In The World Today | Red Hot Chili Peppers |
| Best New Act | Razorlight |
| Best Producer | Mick Jones for "The Libertines" |
| Q Classic Songwriter Award | Elton John |
| Q Lifetime Achievement | Roxy Music |
| Q Inspiration Award | Pet Shop Boys |
| Innovation In Sound | The Human League |
| Q Icon | U2 |
| Special Merit | Shane McGowan |