| Top 20 Ghana Music Video Countdown brought to you by Ghana Music. |
| Week #49 Ending December 7th, 2019. | P | W | L | |
| 1. | Zahanli by Fancy Gadam | 1 | 1 | – |
| 2. | Sika by Adina | 1 | 7 | 2 |
| 3. | Oofeetsɔ by Sarkodie ft. Prince Bright (Buk Bak) | 3 | 3 | 4 |
| 4. | Saara by Sarkodie ft. Efya | 1 | 11 | 3 |
| 5. | Time No Dey by Shatta Wale | 5 | 1 | – |
| 6. | Melissa by Shatta Wale | 1 | 20 | 5 |
| 7. | Akuapem Poloo by Awal | 1 | 2 | 1 |
| 8. | Yo by Steph OJ | 8 | 4 | 9 |
| 9. | Obiaato by Kuami Eugene | 6 | 7 | 8 |
| 10. | Regular by Sarkodie & Mugeez | 5 | 4 | 6 |
| 11. | Prophecy by Shatta Wale | 3 | 9 | 11 |
| 12. | Me Ne Woaa by Kofi Mole | 12 | 4 | 12 |
| 13. | Tinton by Evangelist IK Aning & Righteous Vandyke | 13 | 2 | 13 |
| 14. | Mati by Fameye | 4 | 17 | 14 |
| 15. | Gangsta Lovin by Akwaboah | 8 | 4 | 10 |
| 16. | Serious by Fuse ODG ft. Article Wan & Quamina MP | 15 | 3 | 15 |
| 17. | Don’t Stress by Nana Rogues ft. Kwesi Arthur & Stonebwoy | 16 | 2 | 16 |
| 18. | Betrayal by Lyrical Joe ft. Sarkodie | 18 | 1 | – |
| 19. | Wish by Prince Bright (Buk Bak) ft. Sarkodie | 4 | 4 | 19 |
| 20. | 3b3y3 Yie by Fancy Gadam | 1 | 14 | 17 |
| P = Peaked | W = Weeks on Chart | L = Last Week’s Position |
| #top20GHMusicVideos Compiled every week by Ghana Music. |
