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Background: Healing ministries constitute a central feature of Ghanaian Pentecostalism, functioning not only as expressions of charismatic spirituality but also as informal systems of spiritual and psychosocial care within a media-driven religious environment. However, their rapid expansion has generated increasing ethical scrutiny concerning pastoral authority, accountability and ministerial conduct. Objectives: This study examines the ethical dimensions of healing ministries in Ghanaian Pentecostal contexts, focusing particularly on the tension between charismatic healing practices and moral accountability. Method: Using consequentialism as a normative ethical framework, the article employs contextual theological analysis to evaluate healing practices within Ghana’s contemporary Pentecostal landscape, paying attention to leadership dynamics, media influence and cultural expectations for visible miracles. Results: The analysis demonstrates that Pentecostal healing ministries provide holistic spiritual and psychosocial support and reinforce pastoral authority. However, they also generate ethical tensions, particularly regarding leader self-promotion, financial exploitation, emotional manipulation and certain deliverance practices. These challenges are exacerbated by strong cultural expectations for demonstrable miracles and weak institutional accountability structures. Conclusion: The credibility and theological integrity of healing ministries depend upon the integration of ethical safeguards that prioritise transparency, accountability and servant leadership. Contribution: By situating the discussion within the Ghanaian Pentecostal context, this study contributes to contemporary debates on Pentecostal ethics, charismatic authority and responsible pastoral practice in African Christianity.