This paper investigates the adoption and implementation of the Balanced Scorecard (BSC) in Ghana's state-owned enterprises (SOEs), aiming to understand its integration as a routine practice in the public sector. Using a case study approach, the findings reveal mixed evidence on the normalization of BSC, with less than half of interviewees confirming collective action in its application and a tendency for neutral responses on its integration. The study contributes to the literature on performance management in developing countries and highlights the necessity for future research to expand on these findings within differing public sector contexts.