Geeky and gory fans gathered at the TVs and in LA for Spike’s 2010 Scream Awards that aired on this past Tuesday night. The Scream Awards honor the fan picks of the year’s best in sci-fi, comics, and horror. 2010 still proves to be dominated by vampires – Twilight: Eclipse and True Blood swept up eight awards between the two, but it’s refreshing to know that people honored the smartest film of the year, Christopher Nolan’s Inception with the Ultimate Scream and Best Sci-Fi Movie awards. James Cameron’s Avatar picked up Best Director, F/X, and 3D Movie.

This year, Scream honored Comic-Con Icon recipient Ray Bradbury and Sigourney Weaver for her career roles as a Heroine. This year also marks the 25^th anniversary of Back to the Future with a special appearance by Christopher Lloyd and Michael J. Fox. The award show also gave a final farewell to Lost. Here are highlights from the ceremony:

Back to the Future 25^th Anniversary: Christopher Lloyd and Michael J. Fox Reunite

Bill Murray Accepts for Zombieland, Thanks the Dead

In case you missed it, here is a rundown of the winners of this year’s Scream Awards:

Ultimate Scream – Inception

Best Sci-fi Movie – Inception

Best Fantasy Movie – The Twilight Saga: Eclipse

Best Horror Movie – Zombieland

Best TV Show – True Blood

Best Director – James Cameron, Avatar

Best Scream-Play – Shutter Island, Written by Laeta Kalogridis

Best Fantasy Actress – Kristen Stewart, The Twilight Saga: Eclipse

Best Fantasy Actor-  Robert Pattinson, The Twilight Saga: Eclipse

Best Science Fiction Actress – Scarlett Johansson, Iron Man 2

Best Science Fiction Actor – Leonardo DiCaprio, Inception

Best Horror Actress – Anna Paquin, True Blood

Best Horror Actor – Alexander Skarsgard, True Blood

Best Villain – Mickey Rourke as Ivan Vanko, Iron Man 2

Best Superhero – Robert Downey Jr. as Iron Man, Iron Man 2

Best Supporting Actor – Joseph Gordon-Levitt, Inception

Best Supporting Actress – Anne Hathaway, Alice in Wonderland

Best Breakout Performance Female – Chloe Grace Moretz, Kick-Ass

Best Breakout Performance Male – Tom Hardy, Inception

Best Cameo – Bill Murray, Zombieland

Best Ensemble – Zombieland

Most Memorable Mutilation – The Human Centipede (first sequence)

Fight Scene of the Year – Anti-Gravity Hotel Fight, Inception

Holy Sh*t! Scene – Head Twisted 180 Degrees During Sex, True Blood

3-D Top Three – Avatar

Best F/X – Avatar

Best TV Performance – Matthew Fox, Lost

Best Comic Book or Graphic Novel – The Walking Dead

Best Comic Book Writer – Geoff Johns

Best Comic Book Artist – Frank Quietly, Batman and Robin, Batman

Best Comic Book Movie – Kick-Ass

Best Worst Movie – Piranha 3D

Most Anticipated Movie – Green Lantern

[Above: True Blood‘s Anna Paquin and Stephen Moyer at Scream 2010 Awards]

[Source] Spike