Contrary to expectations of modern democratic development, the establishment of liberal-democratic institutions in Ghana has not led to the demise of political clientelism. Instead, the underlying informal institutions of leadership—friendship, capitalist entrepreneurship, family, and religion—contribute to the persistence of personal rule in urban Ghana. Leaders amass political power by accumulating followers in daily life. The article provides empirical evidence to substantiate these theoretical claims in the form of two ethnographic case studies—a politician’s primary campaign and the screening of a football match in an urban slum. It proposes an alternative model for the study of democracy and political accountability that extends beyond the formal institutional realm to include informal mechanisms that shape political clientelism in a democratic environment.