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The ghosts in Chapter Four of Little Nightmares 3 are unique collectibles that appear only when you get close to their locations. There are six ghosts in total. They are only visible briefly when you approach the right spot, after which they vanish—counting as collected. Finding all six ghosts unlocks the “Institutionalized” achievement.
Where to find all the ghosts in Chapter 4: Institute:
The first ghost is visible right at the start of the chapter. Low and Alone are on the shore in front of the institute. Before entering the building, go to the far right side of the screen, past the large stairs. Shine your flashlight across the stairs to see the first ghost drawing in the sand.
The second ghost can be found shortly after encountering the man-eating plants. When crossing a big gap with a plant on the left, Alone will start crossing first. This triggers the plant to open for Low to shoot. Before heading left up the stairs, go to the right corner of the room to spot the second ghost drawing the sun on the wall.
The third ghost is in a hallway with a gong that Alone needs to hit with her wrench. After hitting the gong, a large foot will emerge from the wall, revealing a hole. Head through the hole into the back left corner, where a bench with luggage sits. The third ghost is sitting on this bench, kicking their feet.
The fourth ghost appears after a chase sequence involving a hand with an eye. You’ll drop into a new room with mushroom-like formations. Before ascending the stairs, go to the back left corner near the coat rack, where the fourth ghost is standing on the floor.
After a second chase with the boss, you’ll end up in a hallway with a lever that Low holds to help Alone proceed. Before leaving this room, check the back right corner. The fifth ghost will be sitting on a bench along the right wall.
The sixth (and final) ghost is in a room after a long elevator ride down to what looks like a concrete basement. You first need to cross a wooden plank to reach a locked door. The last ghost is on the floor by the bed inside this locked room. To get the key, go back across the plank toward the elevator. Look for a hole in the wall on the right; passing through it will lead you to the key resting on a box.
Important notes:
If you replay Chapter Four to collect missed ghosts, be aware that ghosts previously collected might not appear again. However, all ghosts still count toward unlocking the “Institutionalized” achievement regardless of replays.
Once all ghosts are collected and the achievement is unlocked, you can return to the chapter select menu or finish the chapter if it’s your first time playing.