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Teacher well-being has been a concern, but there has been a lack of research on how teacher leadership can contribute to teacher well-being, particularly through the meditating roles of trust in the leader and teacher efficacy. Using SEM and bootstrap methods and based on the findings from 1144 teachers, this study reports a positive relationship between teacher leadership and teacher well-being. This study also finds positive mediating roles of trust in the leaders and teacher efficacy in the relationship between teacher leadership and teacher well-being in a high-accountability and hierarchical system. This study provides an understanding of the transferability of teacher leadership theories across cultures and has practical significance for educational practice in similar contexts.