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FILE - This Aug. 25, 2013 file photo shows singer Miley Cyrus at the MTV Video Music Awards in the Brooklyn borough of New York. Cyrus, Katy Perry, Robin Thicke, and Kings of Leon are among those who will be performing at MTV's Europe Music Awards. Cyrus delighted a group of fans as she left her hotel for the Sunday, Nov. 10, 2013 by sticking her tongue out at them, the same expression she flashed repeatedly during her memorable appearance at MTV's Video Music Awards in New York in August. (Photo by Evan Agostini/Invision/AP, File)
AMSTERDAM—Miley Cyrus opened MTV's Europe Music Awards with her hit "We Can't Stop"—wearing a space-themed silver spandex suit and twerking with a female dwarf.

To the delight of the crowd in Amsterdam's Ziggo Dome, Cyrus finished the number by sticking out her tongue—the same expression she flashed repeatedly during her eyebrow-raising appearance at MTV's Video Music Awards in New York in August.

The European awards traditionally focus on global, rather than U.S. pop music acts, though the overlap is huge: Eminem is receiving a "Global Pop Icon" award and Justin Timberlake and Macklemore & Ryan Lewis are nominated in five categories each.

The show is scheduled to be rebroadcast in the U.S. later Sunday.