The Hiltons first competed together in amateur dance competitions in 1978, achieving Championship titles in the UK for Latin American dance. They also competed in international events, representing Great Britain. In 1980, they took part in the United Kingdom Open Championship, qualifying for the World Amateur Latin American Championships in West Germany. They represented England at the event, achieving 5th place. They later achieved Championship wins in the European and World Amateur 10 Dance Championships.

The Hiltons became a professional dance couple in 1983, winning their first professional title at the British Rising Star Championship. The couple were married in 1986 and continued to dance professionally whilst giving demonstrations, teaching, lecturing and judging. In June 1997, both Karen and Marcus were awarded Membership of the Order of the British Empire in the Queen's Birthday Honours List. They competed professionally until their retirement in 1998, winning numerous Championship titles.

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