Two people had to be cut out of their vehicle by fire-fighters following a two car collision near Synod Inn on Sunday afternoon.
One person was air-lifted to hospital, while three casualties were transported by ambulance.
Fire crews from New Quay and Aberaeron were called to the scene on the A487 at 4.40pm, and used specialist cutting equipment to free the trapped casualties.
Traffic diversions were put in place while the emergency services dealt with the scene.
Comments: Our rules
We want our comments to be a lively and valuable part of our community - a place where readers can debate and engage with the most important local issues. The ability to comment on our stories is a privilege, not a right, however, and that privilege may be withdrawn if it is abused or misused.
Please report any comments that break our rules.
Read the rules here