The altimeter measures altitude relative to a reference pressure (usually QNH). If the altimeter is not set correctly, it can give a misleading altitude reading.
- If the altimeter setting is lower than the actual QNH → the altimeter underreads, and the aircraft is higher than indicated
- If the altimeter setting is higher than the actual QNH → the altimeter overreads, and the aircraft is lower than indicated
This is summarized by the phrase:
"From high to low, look out below"
Why?
With QNH set on the altimeter, the instrument indicates altitude above mean sea level. But since air pressure decreases with height, a mismatch between actual and set QNH shifts the reference level.
Example:
If you set QNH 1025 while the actual QNH is 1005, you're referencing a higher pressure level. The difference is 20 hPa →
20 × 27 ft = 540 ft
Your altimeter will read 540 ft higher than your true altitude.

So, setting a QNH higher than the actual value leads to altimeter overread and puts the aircraft lower than indicated — a potentially hazardous situation near terrain or obstacles.