This study reports on the diet of breeding West African Crested Terns Thalasseus albididorsalis on the basis of otoliths found in excrement (a mixture of pellets and faeces near nests). During the period 1998–2019, towards the end of the incubation period, excrement samples were collected from breeding colonies on islands, along the Atlantic coast from Mauritania to Guinea. In 31 samples with a total of 8956 otoliths we identified 53 fish families, 75 genera and 101 species. Twelve fish families occurred in more than 2% of the samples. The families of Haemulidae, Mugilidae, Pristigasteridae and Sparidae were particularly numerous (found in 10.5–15.7% of samples). The most numerous species were Bigeye Grunt Brachydeuterus auritus (9.8%) and West African Ilisha Ilisha africana (13.3%). There were marked differences in the diets of terns from the Banc d'Arguin (Mauritania), The Langue de Barbarie (northern Senegal) and all more southerly sites together (Senegal, The Gambia, Guinea Bissau and Guinea). On Ile aux Oiseaux, Delta du Saloum, Senegal, we found long-term changes in the diet of the terns with a marked decrease in Brachydeuterus auritus and the family Sparidae and a strong increase in Ilisha africana. Our analyses suggest that breeding West African Crested Terns are food generalists rather than specialists. This is surprising in view of the general trend in terns of the genus Thalasseus. There are indications that chick diets may differ from those of adults.