She won’t stop. Or maybe she can’t stop. But at the MTV Europe Music Awards in Amsterdam on Sunday, Miley Cyrus continued her desperate plea for relevancy. Not only did she exchange twerk spankings with a dwarf, she also lit up a joint on stage after accepting the Best Video gong for “Wrecking Ball.”

The MTV Europe Music Awards (aka the VMAs but with cooler accents) took place today in Belfast, Northern Ireland. Major winners included Lady Gaga, who came dressed up as several versions of the Pixar lamp, and alleged teen mom Justin Bieber. How predictable! One thing EMA viewers didn't see coming, however, was the completely naked man who rushed the stage during a presentation by Hayden Panettiere, who managed to appear shocked despite the fact she probably knew it was going to happen. The NSFW video is above.