We present a study of the galaxy environment of 9 strong H i+C iv absorption line systems (16.2 < log(N(HI)) < 21.2) spanning a wide range in metallicity at z ∼ 4 − 5, using MUSE integral field and X-Shooter spectroscopic data collected in a z ≈ 5.26 quasar field. We identify galaxies within a 250 kpc and ±1000 km s −1 window for 6 out of the 9 absorption systems, with 2 of the absorption line systems showing multiple associated galaxies within the MUSE field of view. The space density of Lyα emitting galaxies (LAEs) around the H i and C iv systems is ≈ 10 − 20 times the average sky density of LAEs given the flux limit of our survey, showing a clear correlation between the absorption and galaxy populations. Further, we find that the strongest C iv systems in our sample are those that are most closely aligned with galaxies in velocity space, i.e. within velocities of ±500 km s −1 . The two most metal poor systems lie in the most dense galaxy environments, implying we are potentially tracing gas that is infalling for the first time into star-forming groups at high redshift. Finally, we detect an extended Lyα nebula around the z ≈ 5.26 quasar, which extends up to ≈ 50 kpc at the surface brightness limit of 3.8 × 10 −18 erg s −1 cm −2 arcsec −2 . After scaling for surface brightness dimming, we find that this nebula is centrally brighter, having a steeper radial profile than the average for nebulae studied at z ∼ 3 and is consistent with the mild redshift evolution seen from z ≈ 2.