Here are the finalists and winners at the 1991 Billboard Music Awards.[1]
| #1 R&B Album | #1 Albums Artist |
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| #1 Country Album | #1 Country Singles Artist |
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| #1 Country Artist | #1 Country Albums Artist |
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| #1 Rap Singles Artist | #1 Hot 100 Singles Artist |
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| #1 Album | #1 Adult Contemporary Artist |
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| #1 Pop Artist | #1 Album Rock Track |
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| #1 Modern Rock Artist | #1 World Album |
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| #1 New Pop Male Artist | #1 R&B Single |
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| #1 Album Rock Artist | #1 R&B Singles Artist |
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| #1 R&B Albums Artist | #1 R&B Artist |
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| #1 Country Single | #1 Hot 100 Single |
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| #1 World Single | #1 New Pop Artist |
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| #1 Hot Dance Club Play Single | #1 Hot Dance Club Play Artist |
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| #1 Hot Dance 12" Singles Sales | #1 Hot Dance 12" Singles Artist |
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| #1 New Pop Female Artist | #1 Hot Dance Club Play Single |
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