The study aimed to assess the repeatability of isotope ratios, δ13C and δ15N in four tissues (muscle, liver, adipose fin, and visceral adipose) and the relationship between growth rate and these measures in rainbow trout (Oncorhynchus mykiss). Tissue samples were from two experiments with, respectively, juvenile (n = 10; Experiment 1, one tank) and large (n = 120; Experiment 2, three tanks) rainbow trout, fed commercial diets. In Experiment 2, the estimated repeatability was high for both δ13C and δ15N in muscle and liver, making one measure suffice (r = 0.70–0.78 and r = 0.80–0.91, respectively). Using regression analysis, bioaccumulation of δ13C in muscle and δ15N in liver (over life), through fractionation (without feed enrichment or depletion strategies) was found to be, respectively, negatively and positively associated with growth rate. Even though individual feed intake was not recorded, the significant relationship between GR (that correlates with feed efficiency) and, respectively, MC and LN, suggests isotopic fractionation as potential biomarkers for individual cumulative (over-life) feed efficiency in fish.