Since the identification of Vibrio mediterranei as a causative agent in mass mortalities of pen shells across the Mediterranean, elucidating its pathogenicity, virulence, and interactions with other bivalves has gained importance. While the cellular and immune responses of bivalves to various Vibrio species have been extensively studied, the infectious characteristics of this Vibrio species, particularly in the context of pen shell outbreaks, remain unclear for other bivalves. Therefore, to evaluate its pathogenicity, we investigated the histological and oxidative effects on the Mediterranean mussel (Mytilus galloprovincialis), a key species in aquaculture. Two distinct infection setups were established: one involving the inoculation of seawater with the bacterial isolate and another involving direct injection of the bacteria into the mussels. After a 24-h exposure period, histological evaluations were conducted on the mantle, gill, and digestive gland tissues of the mussels. Additionally, measurements of superoxide dismutase (SOD), catalase (CAT), glutathione-S-transferase (GST), and lipid peroxidation levels were performed in the gill and digestive gland tissues. Oxidative responses were significantly elevated in both infection setups compared to the control group, with the directly injected samples exhibiting the highest oxidative responses (p < 0.05). Histological findings indicated that tissue-specific responses to host-pathogen interactions were consistent under both infection conditions. Notable observations included intense hemocytic infiltration in tissues, epithelial hyperplasia, and vacuolization in the gills, as well as focal necrotic areas in the digestive gland. The findings of this study indicate that V. mediterranei, a relatively novel pathogen, can provoke significant acute immune responses and tissue-level reactions in M. galloprovincialis, a species that is both widely distributed and vital to the food chain. These insights into the potential susceptibility of mussels underscore the need for further comprehensive research and inform the development of effective management strategies.