How do people typically place lighting in a room with this type of slant? It’s in several rooms. Do you center from the wall itself or do you measure from the actual ceiling and center from there?

Perhaps this is the best photo to show what is going on. Where do I place the fan?

This may actually be a reasonable arrangement. You need to be careful that the fan blades don’t cross under the lights and create a strobe effect (been there, done that 😕) so perhaps you could put the fan in the middle and add a light kit to the fan so there is more light towards the center of the room. That said, I am not a lighting expert and I think it is worth at least having someone come look at it. Maybe just pay for a consult rather than an installation If you can.

It looks so far up there that I don't think it matters. How tall is that ceiling, anyway? And how long will the ceiling fan down rod be?

One way to look at this is to consider a light or fan over a dining room table. If the table is not centered in the room (due to other furniture or whatever), you would center the light (or a ceiling fan) over the table.

Anyone besides you is going to look up at the ceiling fan--if they even look at the ceiling) and not notice the lights. So I wouldn't fret over this.

The fan should be centered in the room (not on the flat ceiling) and the light placement should relate to the walls (ie all lights 40” off the side walls)

@abcdlatham: "You need to be careful that the fan blades don’t cross under the lights and create a strobe effect..."

Good point. Depending on the diameter of the fan blades and the length of the down rod, the fan blades could certainly cast rotating shadows on the walls. I wonder whether those floodlights would exacerbate the strobe effect or whether the simultaneous glow from all four lights would help hide shadows that would occur if there were fewer lights. Installation of a hugger fan would help reduce the potential shadow problem but wouldn't provide the best ventilation if the ceiling were high.

I am laying on the ground taking the pic. The room is small and Ceiling is maybe 10feet?

The home I’m building has a ceiling like that. We ordered four canned lights to go around the fan. They look like this.

Mallory, that small white circle in the middle of the room looks like a cover for a ceiling electrical box. Is it?

If so, I would hang the fan there. It looks like the approximate center of the room. The fan will be what is noticeable. Not the lights. Which is what I was getting at in the previous post but never got around to explicitly answering your question about where to put the light.

FWIW, any ceiling over 8' is a 'high' ceiling in my world.