There is a strong tendency among care workers at extramural care institutions to give up the care profession. Employees' work satisfaction plays a very important role in this. This paper, which is based on the literature, illustrates the relationship between ethical leadership and improving employee satisfaction in extramural care institutions. In the extramural sector, leadership is subject to legal frameworks and is strongly controlled by company values and company culture. This results in questions regarding leadership style, communication, error management, the right to a say, and willingness to change. The key element of ethical leadership is the relationship between morale and morality as they interact with the human way of life. When it comes to leading with ethical values, one must take care that it is not only success-oriented behaviours that are acknowledged, but also ethical behaviours themselves. What is special about ethical leadership is not just responsibility for the organisation, but also responsibility for the people who ultimately support the organisation (human responsibility). Ethical leadership considers the hopes, goals, and values of employees and thus also takes responsibility for a good work-life balance. Contrary to frequent preconceptions or doubts, one can claim that ethical leadership does pay off, in so far as an act of leadership was carried out by means of humanly responsible leadership (appreciation). The consequence is increased motivation and a higher level of performance. Individuals feel obliged to return benevolent behaviour. Ethical leadership thus achieves a high level of employee satisfaction and entails strong motivation.