Linear actuators driven by everted ball screw assemblies are described herein. In some examples, the everted ball screw assembly includes a hollow screw shaft with internal threads, a ball cylinder concentrically positioned therein and having external threads, and a plurality of balls sized to fit in a substantially contiguous series along a working pathway that is defined by the space between the internal and external threads. One or more limiters prevent the ball cylinder from rotating. A motor rotates the hollow screw shaft, thereby driving the balls along the pathway and imparting linear motion to the ball cylinder, which is coupled to a connecting rod for actuating a load. The ball cylinder in some examples includes an internal return path with scoop elements that are sized and shaped to guide the balls into the internal return path and then back onto the working pathway.