The 4th Metro Manila Film Festival had its run in 1978 starting from December 25 onwards. "Atsay" was hailed as the Festival Best Picture.
| Title of Movie | Starring | Studio | Director |
| Ang Huling Lalaki ng Baluarte | Rey Malonzo, Tina Monasterio | SQ Film Productions | Artemio Marquez |
| Atsay | Nora Aunor, Ronald Corveau, Armida Siguion Reyna | Ian Film Productions | Eddie Garcia |
| Garrote: Jai Alai King | Christopher De Leon | VP Pictures | Manuel 'Fyke' Cinco |
| Jack n'Jill of the Third Kind | Dolphy, Nora Aunor | RVQ Productions | Frank Gray Jr. |
| Katawang Alabok | Lorna Tolentino | Agrix Film Productions | Emmanuel H. Borlaza |
| Kid Kaliwete | Bembol Roco | Associated Entertainment Corp. | Manuel Cinco |
| Rubia Servios | Vilma Santos, Mat Ranillo III, Phillip Salavador | Sampaguita Pictures | Lino Brocka |
| Salonga | Rudy Fernandez | MBM Productions | Romy Suzara |
| The Jess Lapid Story | Lito Lapid, Beth Bautista | Mirick Films | Gallardo |
| Award | Winner |
|---|---|
| Best Film | Atsay |
| Best Director | Eddie Garcia (Atsay) |
| Best Screenplay | Mario O'Hara (Rubia Servios) |
| Best Cinematography | Romeo Vitug (Atsay) |
| Best Editing | Jose Tarnate (Rubia Servios) |
| Best Art Direction | Robert L. Lee III & Peter Perlas (Katawang Alabok) |
| Best Performer | Nora Aunor (Atsay) |
| Preceded by 1977 Metro Manila Film Festival |
Metro Manila Film Festival 1978 |
Succeeded by 1979 Metro Manila Film Festival |
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