The accompanying music video for " Pretty Hurts " was directed by Melina Matsoukas , and features the singer competing in a beauty pageant . The clip was made available at iTunes Stores as part of the album 's release on December 13 , 2013 . It also won a category for Best Cinematography along with Best Video with a Message at the 2014 MTV Video Music Awards . '' Rolling Stone '' included the clip in their year-end list of the 10 best music videos of 2014 . Beyoncé performed " Pretty Hurts " during her co-headlining On the Run Tour ( 2014 )
2014 MTV Video Music Awards
2014 MTV Video Music Awards
Pretty Hurts