But she was not alone - Kelly Osbourne, singer Shakira, Cameron Diaz and Princess Anne also made the list.
Mr. Blackwell named the former Playboy Playmate as the worst dressed woman of 2002 on Tuesday. She was followed closely by a bevy of pop singers including Christina Aguilera and Shakira, actresses Meg Ryan and Cameron Diaz, Britain's Princess Anne and Kelly Osbourne, the daughter of British rocker Ozzy Osbourne.
Smith, a Texas native who worked as a stripper when she met her late octogenarian husband, has been starring in her own TV reality series, which has been savaged by the critics for its inane content along with a poor fashion sense and overweight heroine.
In second place on the Blackwell list was another reality TV star, Kelly Osbourne.
Named third was Colombian singer Shakira, whom, Mr. Blackwell described as "overwrought and underdressed."
Film star Cameron Diaz nabbed fourth place with Mr. Blackwell. Opining that she "looks like she was dressed by a color-blind circus clown."
Britain's Princess Anne wound up in fifth place because: "Her Royal Dowager Drag is dreary, drab and dour."
In sixth place was "Interview with A Vampire" author Anne Rice, whom Mr. Blackwell said "looks like a cross between Queen Victoria and the Vampire Lestat."
He was not much nicer to designer Donatella Versace whom he said "resembles a flash-fried Venus, stuck in a Miami Strip Mall" and needs to "toss the peroxide once and for all."
Actress Meg Ryan was eighth because Mr. Blackwell deemed her "a total fashion wreck" who "looks like a Swap-Meet Fashion Queen in Beverly Hills."
A pair of pop stars, Christina Aguilera and Pink, finished ninth and 10th respectively, Aguilera because "her barely-there bimbo bombs wouldn't cover a gnat" and Pink because "Out of the blue, pops Pink, and I'm seeing red."
Summing it all up Mr. Blackwell said 2002 represented "not a pretty picture ... fashion flip-flopped all over the place."
Mr. Blackwell, a one-time designer for Jayne Mansfield, Jane Russell and Dorothy Lamour, issued his list via the internet and e-mail, forgoing a public announcement due to ill health.