Taylor Swift Arrives at the 2026 VMAs Following Record-Breaking Spotify Success

Taylor Swift arrived in Los Angeles for the 2026 MTV Video Music Awards, where she is set to premiere the video for “Patient Zero,” a song from the expanded edition of her 2025 album The Life of a Showgirl. Released September 25, the edition adds “Patient Zero,” “Cleveland!,” “Pink Clouding” and “Babylon”; Swift set Spotify’s 2026 record for most streams by a female artist in a single day, and “Patient Zero” set the platform’s single-day record for a song by a female artist, though its streams fell sharply the next day and Spotify did not release totals. Swift directed the video, which stars Dakota Johnson and Colin Farrell and was shot by cinematographer Emmanuel Lubezki. She is set to receive MTV’s inaugural Artist Director Honors and is nominated in multiple categories. Reviews of the expanded album have been mixed to negative.
Swift said “Patient Zero” was inspired by a friend who contacted an ex’s new girlfriend for advice about a toxic relationship; Swift said other friends shared similar experiences, prompting her to explore the situation in a song.
The four tracks on the expanded edition were written after the original album became a hit, rather than being songs left over from the 2025 album.
Swift’s directing work predates “Patient Zero”: she made her solo directorial debut with “The Man” in 2020, then directed “All Too Well: The Short Film,” which won three VMAs and a Grammy for Best Music Video.
In a behind-the-scenes clip recorded on the “Patient Zero” set in March 2025, Swift joked that she needed to find a way to get the video on television, then told her production designer to look up when the VMAs were.
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