Abstract Black soldier fly larvae (BSFL) meal has the potential to partially replace fish meal in the diet of various aquatic animals. The fermentation treatment of BSFL can retain more nutrients and reduce processing and transportation costs. This study investigated the effects of partially replacing fish meal with Black Soldier Fly Fermentation Homogenate (BSFFH) on the growth performance and health of Chinese soft-shelled (Pelodiscus sinensis) turtle. The experiment was divided into 4 different groups of juvenile P. sinensis diets. The control diet included 60% compound feed and 40% sea fish. The 34%, 61%, and 82% substitution groups were fed mixtures, and varying percentages of sea fish were replaced with BSFFH. The results indicate that replacing 34% and 61% sea fish with BSFFH significantly improved growth (P < 0.05). The 61% substitution significantly decreased the muscle fiber size while the 82% substitution significantly upregulated the expression of myogenic genes MYF5 and MRF4 (P < 0.05). Furthermore, replacing sea fish with BSFFH significantly increased hepatic TG content (P < 0.05) and induced mild liver fibrosis, while it reduced the TG content in skeletal (P < 0.05). However, BSFFH did not affect subcutaneous fat weight (P > 0.05). Lastly, the 34% substitution significantly increased the intestine villus height and the ratio of villus height/crypt depth, while higher substitution reduced both values. In addition, the 61% substitution increased the mucus secreted by the intestine goblet cells. In conclusion, partially replacing sea fish with BSFFH improves the growth performance and intestine structure of Chinese soft-shelled turtles. However, a high level of BSFFH could negatively affect growth performance, intestinal structure, and hepatic health.