Nirvana made its first music video for an early version of "In Bloom" in 1990; however the song did not appear on a commercial release until the release of the group's second album, Nevermind, in 1991. "In Bloom" became the fourth and final single from the album in late 1992. While Nirvana's label DGC Records did not release a physical single for sale in the United States, "In Bloom" received much American radio airplay, reaching number 5 on the US Mainstream Rock chart. The international release of the single made the Top 10 in Ireland and Portugal. It also made the Top 20 in Finland and New Zealand and the Top 30 in Sweden and the United Kingdom. It was accompanied by a new music video which won Best Alternative Video at the 1993 MTV Video Music Awards.