Brantley Gilbert was named new male vocalist of the year and Jana Kramer best new female vocalist.

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Jason Aldean was named male vocalist of the year, beating Luke Bryan, Eric Church, Toby Keith and Blake Shelton.

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Church also is up for male vocalist of the year with 2012 winner Shelton, Bryan, Aldean and Toby Keith.

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Aldean, country's top-selling male act, also won male vocalist of the year.

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He is country's top-selling male act, one of its top touring draws and recently won the Academy of Country Music's male vocalist of the year award.

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While in the clinic he missed the release of his latest album, Love, Pain and the Whole Crazy Thing, and was not present to accept his second male vocalist of the year honour at the Country Music Association Awards.

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Jana Kramer is the new female vocalist of the year, Brantley Gilbert is the new male vocalist winner and Florida Georgia Line took new vocal duo or group, as voted by fans.

NPR: Eric Church Leads ACM Awards Nominations With 7