This systematic review aims to synthesize evidence on zoonotic agents in farmed fish from the interdisciplinary One Health perspective. The review followed a protocol, following the PICOS strategy, where P represents population (farmed fish), I represents intervention (fish diseases), C represents comparison (healthy fish), O represents outcome (One Health) and S represents the type of study (experimental studies). The searches were conducted in the SCOPUS, Science Direct and PubMed Central databases. Of the 400 articles identified, 23 met the inclusion criteria due to their methodological robustness. These articles focused predominantly on parasitic (60.9%) and bacterial (39.1%) zoonotic agents. The One Health approaches discussed throughout the articles included host-parasite interactions (35%), antimicrobial resistance (22%), infections and food safety (18%), nutrition and immune responses (17%), stress and immune responses (4%) and anthelmintic testing (4%). The findings indicate that high-level scientific production is often confined to specific fields, such as veterinary medicine, biological sciences and animal science/fishery resources. There is a lack of broad interdisciplinary collaboration, limiting the integration of diverse fields to improve scientific production.