There is evidence globally that the number of sociopathic, narcissistic, and so‐called antisocial personality disorders is far more prevalent than expected. Most individuals with such a disorder cause limited harm to society. However, politicians may, through an exaggerated sense of entitlement, grandiosity, sensitivity to criticism, and the hunger for acclaim, cause conflicts that have historically reached the level of wars, political unrest, or severe social suffering. This is often evident only after attaining a high office and is especially witnessed in international and national politicians. Thus, this review aims to clarify the social, political, and health‐care security implications of sociopathic narcissistic leadership and to recommend potential societal options to avoid the untoward leadership consequences that too often occur.