The Academy of Canadian Cinema & Television's 5th Gemini Awards were held on December 4, 1990 to honour achievements in Canadian television. The awards show took place at the Metro Toronto Convention Centre and was broadcast on CBC Television.

Best Dramatic Series

Best Short Dramatic Program

Best TV Movie

Best Comedy Program or Series

Best Documentary Program

Best Documentary Series

Best Dramatic Mini-Series

Best Performing Arts Program or Series or Arts Documentary Program or Series

Best Variety Series

Best Variety Program

Best Information Series

Best Light Information Series

Best Information Segment

Best Animated Program or Series

Best Youth Program or Series

Best Children’s Program or Series

Best Sports Program or Series

Best Special Event Coverage

Best Direction in a Dramatic Program or Mini-Series

Best Direction in a Dramatic or Comedy Series

Best Direction in a Variety or Performing Arts Program or Series

Best Direction in an Information or Documentary Program or Series

Best Writing in a Dramatic Program or Mini-Series

Best Writing in a Dramatic Series

Best Writing in a Comedy or Variety Program or Series

Best Writing in an Information/Documentary Program or Series

Best Performance by an Actor in a Leading Role in a Dramatic Program or Mini-Series

Best Performance by an Actress in a Leading Role in a Dramatic Program or Mini-Series

Best Performance by an Actor in a Continuing Leading Dramatic Role

Best Performance by an Actress in a Continuing Leading Dramatic Role

Best Guest Performance in a Series by an Actor or Actress

Best Performance by an Actor in a Supporting Role

Best Performance by an Actress in a Supporting Role

Best Performance in a Variety or Performing Arts Program or Series

Gordon Sinclair Award for Broadcast Journalism

Best Reportage

Best Anchor or Interviewer

Best Sportscaster

Best Photography in a Dramatic Program or Series

Best Photography in a Comedy, Variety or Performing Arts Program or Series

Best Photography in an Information/Documentary Program or Series

Best News Photography

Best Picture Editing in a Dramatic Program or Series

Best Picture Editing in an Information/Documentary Program or Series

Best Production Design or Art Direction

Best Costume Design

Best Sound in a Dramatic Program or Series

Best Sound in a Comedy, Variety or Performing Arts Program or Series

Best Sound in an Information/Documentary Program or Series

Best Original Music Score for a Program or Mini-Series

Best Original Music Score for a Series

Special Awards