Integrity 2023 is the fourth edition of the successful Workshop on Integrity in Social Networks and Media, held in conjunction with the ACM Conference on Web Search and Data Mining (WSDM) in the past three years. The goal of the workshop is to bring together researchers and practitioners to discuss content and interaction integrity challenges in social networks and social media platforms. The event consists of a combination of invited talks by reputed members of the Integrity community from both academia and industry and peer-reviewed contributed talks and posters solicited via an open call-for-papers.