We compute the radiation reacted momentum impulse , spin kick , and scattering angle between two scattered spinning massive bodies (black holes or neutron stars) using the supersymmetric worldline quantum field theory formalism up to fourth post-Minkowskian (4PM) order. Our calculation confirms the state-of-the-art non-spinning results, and extends them to include spin-orbit effects. Advanced multi-loop Feynman integral technology including differential equations and the method of regions are applied and extended to deal with the retarded propagators arising in a causal description of the scattering dynamics. From these results we determine a complete set of radiative fluxes at sub-leading PM order: the 4PM radiated four-momentum and, via linear response, the 3PM radiated angular momentum, both again including spin-orbit effects.

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