Elton has paid tribute to terminally ill British guitar legend Wilko Johnson by presenting him with an award he had just received himself.
The vocalist, who had been handed the Genius trophy at the GQ ceremony by the Dr Feelgood musician, promptly handed it back to him declaring: "You're the f*****g genius here."
Elton added: "He's too busy living life to think about f*****g dying."
A founding member of the 1970s Essex group, Dr Feelgood, Johnson later went on to lead his own band and had a stint in Ian Dury's band, the Blockheads.
He has won a new generation of fans who watch him on the TV fantasy series Game Of Thrones, in which he appeared as silent executioner Ilyn Payne.
Below is the winner's list for the 2013 GQ Men of the Year Awards, held September 4, at the Royal Opera House in London's Covent Garden.
Hugo Boss Most Stylish: Dan Stevens
Comedians: Simon Pegg, Nick Frost and Edgar Wright
Politician: Boris Johnson
Oracle: Russell Brand
Breakthrough Menswear Designer Brand: Jonathan Saunders
Lifetime Achievement: Sir Bobby Charlton
Radio Personality: Nick Grimshaw
Entrepreneur: Evgeny Lebedev
Chef: Jason Atherton
Sportsman: Carl Froch
Writer: Charles Moore
Woman: Emma Watson
Editor's Choice Award: Roger Daltrey (Dylan Jones)
The Serpentine Gallery GQ Art Award: Tracey Emin
Band: Arctic Monkeys
Remy Martin Breakthrough: Eddie Redmayne
TV Personality: Piers Morgan
Performer: Pharrell Williams
Inspiration: Lou Reed
Icon: Noel Gallagher
Designer: Tom Ford
Genius: Sir Elton
Legend: Michael Douglas