Judges described the album as "the musical equivalent of a literary masterpiece" which would have "lasting relevance for a generation".
Supported by the singles Black, Streatham, Location and Disaster, the ambitious concept album follows the narrative of a therapy session and explores Dave's older brothers' criminal convictions and themes of mental health and growing up as a working class black man. I want to thank everyone, my mum.
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"I did not expect this", said Dave as he took to the stage and invited his mum to up come and join him.
From a shortlist filled with topical work communicating strong messages on politics, the environment, gender and race, Dave's family reflection was the pick of 2019.
Dave's two siblings have served time in prison and he devoted his award to one of them, Christophe, who "inspired this album". "This is your story, and even though you can't be here, I know you're watching this bro", Dave said.
But Northampton-based rapper Slowthai caused the biggest stir by performing with a dummy of Boris Johnson's severed head, which he held aloft as he performed Doorman, a track about wealth disparity in modern Britain.
Rock act Wolf Alice claimed the prize in 2018 for their album Visions Of A Life.