The 4th Lambda Literary Awards were held in 1992 to honour works of LGBT literature published in 1991.
| Category | Winner | |
|---|---|---|
| Editor's Choice | Lillian Faderman, Odd Girls and Twilight Lovers: A History of Lesbian Life in 20th Century America | |
| Publisher Service | Barbara Grier and Donna McBride, Naiad Press |
| Category | Author | Title | Result |
|---|---|---|---|
| Children's/Young Adult | and Lynette Schmidt | Winner | |
| and Walter Fricke | Sudden Strangers | Finalist | |
| Lark in the Morning | Finalist | ||
| , Meredith Maran, and Kris Kovick | How Would You Feel if Your Dad Was Gay? | Finalist | |
| and Russell Crocker | Gloria Goes to Gay Pride | Finalist | |
| Gay Anthology | (ed.) | Brother to Brother: New Writings by Black Gay Men | Winner |
| and Terry Wolverton | Indivisible: New Short Fiction | Finalist | |
| Hometowns: Gay Men Write About Where They Belong | Finalist | ||
| Leatherfolk: Radical Sex, People, Politics and Practice | Finalist | ||
| Faber Book of Gay Short Fiction | Finalist | ||
| Gay Fiction | What the Dead Remember | Winner | |
| Frisk | Finalist | ||
| Vanishing Rooms | Finalist | ||
| Language We Use Up Here | Finalist | ||
| Halfway Home | Finalist | ||
| Gay Mystery | Winner | ||
| Best Performance by a Patsy | Finalist | ||
| Finalist | |||
| Master’s Counterpoints | Finalist | ||
| Sorry Now? | Finalist | ||
| Gay Non-Fiction | Winner | ||
| and John W. Crowley | Genteel Pagan: The Double Life of Charles Warren Stoddard | Finalist | |
| Cures: A Gay Man’s Odyssey | Finalist | ||
| Homosexual Desire in Shakespeare’s England | Finalist | ||
| Close to the Knives: A Memoir of Disintegration | Finalist | ||
| Gay Poetry | (ed.) | Winner | |
| Finalist | |||
| Sex-Charge | Finalist | ||
| Bethlehem in Broad Daylight | Finalist | ||
| Hand Over Heart | Finalist | ||
| Gay science fiction, fantasy or horror | Winner | ||
| Mirage | Finalist | ||
| Embracing the Dark | Finalist | ||
| Steam | Finalist | ||
| Vampires Anonymous | Finalist | ||
| Humor | Putting on the Ritz | Winner | |
| Strange Angel | Finalist | ||
| , Linda Wells, and Andrea Curren | Coming Out!: More Fun ‘n’ Games | Finalist | |
| What I Love About Lesbian Politics Is Arguing with People I Agree With | Finalist | ||
| Women’s Glib: A Collection of Women’s Humor | Finalist | ||
| Lesbian Anthology | (ed.) | Chicana Lesbians: The Girls Our Mothers Warned Us About | Winner |
| An Intimate Wilderness: Lesbian Writers on Sexuality | Finalist | ||
| and Lani Ka'ahumanu | Finalist | ||
| , Joyce Warshow, and Adrienne Smith | Lesbians at Midlife: The Creative Transition | Finalist | |
| and Robert Drake | Indivisible: New Short Fiction by West Coast Gay & Lesbian Writers | Finalist | |
| Lesbian Fiction | Winner | ||
| Winner | |||
| Minimax | Finalist | ||
| Just Say Yes | Finalist | ||
| Benediction | Finalist | ||
| Lesbian Mystery | Murder by Tradition | Winner | |
| Cop Out | Finalist | ||
| Final Session | Finalist | ||
| Everything You Have is Mine | Finalist | ||
| Finalist | |||
| Lesbian Non-Fiction | and Barbara Rosenblum | Cancer in Two Voices | Winner |
| An Intimate Wilderness: Lesbian Writers on Sexuality | Finalist | ||
| Odd Girls and Twilight Lovers: A History of Lesbian Life in Twentieth-Century America | Finalist | ||
| Rebellion: Essays 1980-1991 | Finalist | ||
| Gertrude and Alice | Finalist | ||
| Lesbian Poetry | Winner | ||
| Finalist | |||
| Artemis in Echo Park | Finalist | ||
| Not Me | Finalist | ||
| Fear of Subways | Finalist | ||
| Lesbian science fiction, fantasy or horror | Winner | ||
| Zeta Base | Finalist | ||
| Stranded | Finalist | ||
| Mega | Finalist | ||
| Shadows of Aggar | Finalist | ||
| Small Press | (ed.) | Gay Roots: Twenty Years of Gay Sunshine | Winner |
| Finalist | |||
| Putting Out ’91 | Finalist | ||
| Bad Object-Choices | How Do I Look?: Queer Film and Videos | Finalist | |
| Garbo | Rusty: How Me and Her Went to Colorado and Everything, Except Not Really | Finalist |