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Take That won the trophies for best British live act and British single.
The Arctic Monkeys took best British group and album - both for the second year in a row - while Foo Fighters won best international group and album.
The ceremony saw performances from Amy Winehouse and Sir Paul McCartney, who received a lifetime achievement honour.
Kate Nash won best British female and Mark Ronson was named best British male.
Producer Ronson, who performed with Winehouse and Adele at the Earl's Court show, is the first non-singer to have scooped the solo artist prize.
"I've never felt so British or male in my entire life," he told the crowd. 
As well as singing with Ronson on their hit Valerie, Winehouse sang one of her own numbers, Love Is A Losing Game.
It was the first public performance from the troubled star, who recently won five Grammy Awards, since being admitted to rehab.
During her solo performance, Winehouse mouthed "I love you" into the camera - presumably at husband Blake Fielder-Civil, who is currently on remand in Pentonville Prison.
Addressing the crowd at the end of her song, the star said: "Make some noise for my husband, my Blake."
The Arctic Monkeys, who did not turn up to the awards last year, attended Wednesday's show dressed as country gents.
The Sheffield band wore tweed waistcoats, breeches, flat caps, and blew a hunting horn on stage.
As Take That accepted their award for best live act, band member Jason Orange said he had an arthritic knee and said: "We appear before you bruised and battered, but dead chuffed. 
"We are so honoured. We've worked so hard over the years."
Their second award, which was presented for the single Shine, was chosen by a live public vote that continued throughout the show.
Kylie Minogue won best international female. The Australian star, who performed her single Wow, said she was "extremely grateful and thankful".
Mika, who kicked off the show with his songs Love Today and Grace Kelly, was named best British breakthrough act.
He also performed with Gossip singer Beth Ditto.
Will Young presented the Critics' Choice award to Adele, a graduate of the Brit School in Croydon, south London.
Accepting the prize, the Londoner said: "My heart's beating so fast." She also thanked her "beautiful" mother.
US star Kanye West, who was unable to attend the ceremony, was named winner of the best international male prize.
"I'm sure there's someone who deserves this more than me, but I just don't know who they are," he said in his acceptance video.
Rihanna followed with a performance of her number one single Umbrella, accompanied by Klaxons.
Former Beatle Sir Paul McCartney performed a medley of hits, including Live and Let Die, Hey Jude and Lady Madonna.
He was honoured with an outstanding contribution award at the ceremony, which was hosted by Sharon and Ozzy Osbourne.
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