Key Takeaways
Why are Bitcoin ETFs seeing persistent outflows?
Institutions reduced exposure, Coinbase Premium Gap stayed negative, and heavy redemptions pushed ETF products into their longest Q4 outflow streak.
What must change for BTC to recover?
ETF flows need to flip positive, allowing BTC to reclaim key SMAs and stabilize above $89k before aiming higher.
Bitcoin [BTC] ended Q3 and Q2 with record ETF demand, pushing price action to the $126k peak. That momentum faded in Q4 as inflows stalled and outflows took over, marking a clear break from earlier quarters.
Bitcoin ETFs’ flows flip red
Undoubtedly, looking at ETF flows, a substantial shift emerges at the start of Q4. For starters, in the early days of October, inflow dominated for 10 consecutive days.
Source: CoinGlass
During this period, total inflows averaged between $600 million and $1 billion when BTC reached its ATH. Shortly after these spikes, outflows slowly started to overtake the market, recording 6 days of outflows.
By the end of October and the start of November, ETF flows had turned red, with outflows dominating.
As such, ETFs have recorded 15 days of outflows of the last 17 days. In fact, from the 10th of November to the 14th, ETF recorded a weekly net outflow of $1.1 billion.

Source: SosoValue
BTC mirrored this shift. Price dropped from $117k to a low near $92k, reinforcing the correlation between flow direction and market reaction.
Institutions step back
Significantly, AMBCrypto determined that ETFs have recorded significant outflows as institutions step back from the market.
In fact, institutional demand for Bitcoin has completely collapsed, with most of these entities aggressively selling their holdings.

Source: CryptoQuant
On top of that, Coinbase Premium Gap stayed negative for three straight weeks. That trend indicated persistent U.S. sell-side pressure with little offsetting demand.
Because ETF mechanisms rely on authorized participants and institutional buyers, reduced appetite directly constrained inflows.
BTC outlook as Q4 continues
Bitcoin ETFs have recorded sustained outflows for the past three weeks amid dwindling institutional demand. At the same time, institutional dumping has caused substantial pressure on ETFs, pushing them to the edge.
As such, most ETFs have turned to selling. With ETFs on the brink, their selling pressure has significantly impacted BTC’s price action.
BTC slid below the 18-day, 50-day, 100-day, and 200-day Simple Moving Averages, confirming strong bearish momentum on the daily chart.

Source: TradingView
Even so, price could stabilize around the $89k support if selling cools. A recovery in institutional allocations may flip ETF flows positive again.
If inflows return, BTC may reclaim the 18-day SMA near $102k and target the 100-day SMA around $111k. That move could set up a stronger finish to Q4 and lay the groundwork for a firmer start to 2026.
