Britney Spears had the dubious distinction of being tabbed Blackwell's "Worst Dressed" on the 46th Annual Worst Dressed list. It was her second time topping the list. Blackwell commented "when it comes to couture chaos, this tacky terror should take a bow." Mary-Kate Olsen of Olsen Twins fame finished second.
The top ten on Blackwell's 46th Annual Worst Dressed list are listed below.