Fish is currently considered a primary protein in the human diet, and the high demand for fish will stimulate the growth of aquaculture. However, a lack of high-quality fish feed (fishmeal) has led to a decline in the quality and yield of aquatic products. Therefore, an alternative high-quality protein source for fish meal is required to sustain the industry. This study assessed the effects of incorporating Spirulina platensis (SP) dried powder as a partial replacement for fishmeal and supplementing with S. platensis purified polysaccharides (PSP) on the growth, nutritional value, and health status of the largemouth bass, Micropterus salmoides, to address the challenges of fishmeal scarcity and promote sustainable development in fish aquaculture. Juveniles were fed four isonitrogenous and isolipidic diets containing SP at 0% (SP0), 3% (SP3) and 6% (SP6) and PSP at 0.3% for 56 days. The results showed that both the SP3 and SP6 groups displayed significantly (P < 0.05) improved growth performance and lower hepatosomatic indices than the control diet (SP0). Whole-body crude protein and protein efficiency significantly increased in both the SP3 and SP6 groups compared with SP0 (P < 0.05). Conversely, crude lipid content notably (P < 0.05) decreased in SP3 (5.96%) and SP6 (5.41%) in contrast to SP0 (6.59%). The muscle amino acid composition of the PSP, SP3, and SP6 groups also improved significantly (P < 0.05) compared to that of the SP0. Liver SOD activity was significantly increased from 1.11 U/mg in SP0 to 1.22–1.24 U/mg in SP3 and SP6 (P < 0.05), while MDA levels declined accordingly. Serum triglyceride levels were significantly lower in SP3 than in SP0 (P < 0.05) but remained stable in the SP6 and PSP groups. Low-density lipoprotein cholesterol decreased significantly in the SP3 and SP6 groups, but no significant effect was observed in the PSP group. Alanine aminotransferase activity was significantly (P < 0.05) lower in the PSP, SP3, and SP6 groups than in SP0. Aspartate aminotransferase activity in PSP and SP3 was significantly lower than in SP0 (P < 0.05), but showed no significant difference with SP6 (P > 0.05). Intestinal trypsin and amylase activities significantly improved in the PSP, SP3, and SP6 groups (P < 0.05), and lipase activities in PSP and SP3 increased significantly compared to those in SP0 (P < 0.05). The intestinal microbiome displayed significantly higher Shannon index scores for SP3 (0.83) and SP6 (0.93) than for SP0 (0.61). The relative abundances of the phylum Fusobacteria and genus Cetobacterium were significantly increased, whereas Proteobacteria and Plesiomonas were significantly decreased in the PSP and SP3 groups compared with that in SP0 (P < 0.05). The present study indicated that the replacement of fishmeal with 3–6% SP and 0.3% PSP addition could improve the growth performance, protein efficiency, muscle nutritional value, liver health, antioxidant capacity, intestinal digestive enzyme activity, and intestinal microbiota diversity of the largemouth bass. Therefore, the partial replacement of SP or the addition of PSP has great potential in promoting healthy aquaculture of largemouth bass.