But, just as the song says, Grande knows how to handle the pain.
It's available on at least three different streaming services. "Oh my god", she said before regaining her balance and picking up where she left off.
Too Close was a bonus track on the Japanese version of My Everything.
Fortunately, Ariana's friends Victoria Monet and Tayla Parx - both of whom are co-writers of the track - were serving as her backing singers, and quickly managed to make her laugh, helping her complete the performance.
Billboard made this known in a statement and noted that the Pop star was picked as the recipient for the award following her 'incredibly successful year and on the heels of her Billboard 200 chart-topping fourth album Sweetener'.
However others felt they could relate to her visual depiction of anxiety, including shots of a cloud encompassing her head, Ariana walking in slow motion through a fast-moving room, and then walking through a frozen room.
The album seems to have been around for about a week, but it's only in the last 24 hours that people have been picking up on the link to Ariana.
Despite giggling over a misstep that almost caused her to fall, Grande got choked up at one point during her performance, visibly holding back tears while singing about walking down the aisle with her mom someday. "I'll be thanking my dad".