In addition to the overall Eurovision vistory, and Marcel Bezençon Awards, another award is handed out to one contestant each year. Since 1997, a fan-voted accolade is handed out to the "worst dessed" artists. The award was founded by Dutch Eurovision fansite The House of Eurovision and has continue to be a popular topic for fans to talk about. The award is given based on the contestant's live performance and has been controversial among fans for being superficial and demeaning, while it continues to make headlines across the community.

From 43 artists, viewers were asked to vote for who they believed was the worst dressed artist of the 2018 song competition via Songfestival.be. The top five included Netta (Israel), Vanja Radovanovic (Montenegro), Sennek (Belgium), and Jassica Mauboy (Australia), but the worst of the worst according to fans was this year's entry from FYR Macedonia.

The lead singer Marija Ivanovska wore a pink jacket back-to-front, with a pair of silver shorts being visible underneath the stand-out pink. Mid-performance the jacket was removed to reveal a silver sparkly top, with a knitted pattern to top it off.