We show that language models hallucinate not because they fail to detect uncertainty, but because of a failure to integrate it into output generation. Across architectures, uncertain inputs are reliably identified, occupying high-dimensional regions with 2-3× the intrinsic dimensionality of factual inputs. However, this internal signal is weakly coupled to the output layer: uncertainty migrates into low-sensitivity subspaces, becoming geometrically amplified yet functionally silent. Topological analysis shows that uncertainty representations fragment rather than converging to a unified abstention state, while gradient and Fisher probes reveal collapsing sensitivity along the uncertainty direction. Because cross-entropy training provides no attractor for abstention and uniformly rewards confident prediction, associative mechanisms amplify these fractured activations until residual coupling forces a committed output despite internal detection. Causal interventions confirm this account by restoring refusal when uncertainty is directly connected to logits.