| Top 20 Ghana Music Video Countdown brought to you by Ghana Music. |
| Week #42 Ending October 19th, 2019. | P | W | L | |
| 1. | Melissa by Shatta Wale | 1 | 13 | 1 |
| 2. | 3b3y3 by Fancy Gadam | 1 | 7 | 2 |
| 3. | Saara by Sarkodie ft. Efya | 3 | 4 | 5 |
| 4. | Dzigbordi by Lord Paper | 2 | 24 | 3 |
| 5. | Ohemaa by Kuami Eugene ft. KiDi | 1 | 18 | 4 |
| 6. | Borjor by Shatta Wale | 6 | 1 | – |
| 7. | Sika by Adina | 7 | 1 | – |
| 8. | Prophecy by Shatta Wale | 7 | 2 | 7 |
| 9. | Bestie by Kofi Mole | 9 | 2 | 18 |
| 10. | Totori by ZeeTM ft. Fancy Gadam | 1 | 7 | 6 |
| 11. | W’agye Me by Obaapa Christy | 7 | 12 | 8 |
| 12. | Don’t Envy by Zack Gh ft. Fameye | 12 | 2 | 16 |
| 13. | Ice Cream by Sorakiss ft. Kuami Eugene | 13 | 1 | – |
| 14. | Chocho Mucho by Bless ft. Kofi Kinaata | 1 | 29 | 11 |
| 15. | Ehwe Papa by Yaa Jackson ft. Fameye | 2 | 28 | 11 |
| 16. | Agbebolo (Bread Of Life) by Celestine Donkor ft. Nyiraba Gideon | 9 | 22 | 19 |
| 17. | Do Me by Frank Naro ft. Fameye | 6 | 7 | 12 |
| 18. | My Time by AMG ViMBOY | 18 | 1 | – |
| 19. | Nsenkyerene Nyankopon (Miracle Working God) by Diana Hamilton | 3 | 24 | 20 |
| 20. | W’asem (Your Word) by Diana Hamilton | 20 | 1 | – |
| P = Peaked | W = Weeks on Chart | L = Last Week’s Position |
| #top20GHMusicVideos Compiled every week by Ghana Music. |
