Carrilho, Raquel VazMoreira, Márcio Júlio VicenteFarinha, Ana PaulaSchrama, DeniseSoares, FlorbelaRodrigues, PedroCerqueira, Marco2025-09-302025-09-302025-09-022076-2615http://hdl.handle.net/10400.1/27766Disease outbreaks pose a significant challenge in aquaculture, leading to substantial economic losses for producers. Tenacibaculosis, a significant ulcerative bacterial disease caused by Tenacibaculum maritimum, affects a wide range of marine fish species globally. Current disease management relies on antibiotics and chemicals, leading to environmental issues, impaired fish and consumer health, and increased antimicrobial-resistant bacteria. This narrative review critically explores welfare-oriented alternatives, specifically examining the potential of temperature modulation and functional diets. Although thermal strategies show promise for warm-water species through behavioural fever mechanisms, their effectiveness remains limited by species-specific thermal tolerances and lack of commercial validation. Nutritional interventions using marine algae, probiotics, and immunostimulants demonstrate broader applicability but suffer from inconsistent methodologies, limited commercial validation, and significant knowledge gaps. We propose that integration of these approaches could theoretically represent a paradigm shift from pathogen-focused to host-centred disease management, pending empirical validation. However, this integration concept requires rigorous validation, as significant knowledge gaps persists regarding optimal implementation protocols, welfare monitoring frameworks, and economic viability assessments. From our perspective, transitioning to welfare-oriented aquaculture demands rigorous evaluation and validation, commercial-scale trials, economic cost–benefit analysis, and the establishment of regulatory frameworks before these theoretical alternatives can be responsibly implemented.engTenacibaculosisThermal therapyBehavioural feverFunctional feedsImmunostimulantsFish welfarejournal article10.3390/ani15172581