Aquaculture is the farming of aquatic organisms like fish, crustaceans, mollusks, and aquatic plants, which has become a crucial source of protein and income. However, bacterial infections pose a significant challenge to the aquaculture industry and traditional treatments, such as antibiotics and chemicals, have limitations and environmental concerns. Disease prevention and control measures, such as the use of probiotics, vaccines, and biosecurity measures, are essential for the sustainable development of the aquaculture industry. Further research is also needed to develop more effective and sustainable strategies for the prevention and control of bacterial fish pathogens in aquaculture, where alternative treatments such as herbal extracts, essential oils, and probiotics require further investigation for efficacy and safety. Microalgae, particularly Chlorella, have potential applications in various industries such as biofuels, pharmaceuticals, and wastewater treatment. However, their large-scale production and commercialization face challenges. Safety of Chlorella to fish is a crucial issue that requires careful evaluation, with hematology being an essential tool to assess its effects on fish health and physiology. Studies show that Chlorella is safe for fish and does not have adverse effects on growth, survival, or immune system function. Chlorella is a safe and sustainable option for aquaculture, free from harmful chemicals and antibiotics. The Green Water System utilizes Chlorella as a natural filter and nutrient recycler, improving water quality and providing a well-balanced diet for aquatic animals. This eco-friendly approach also enhances fish immune systems, growth rates, and survival rates. The scientometric review shows significant research activity, with Chang JS being a prominent author and People’s R China and the Chinese Academy of Sciences leading in contributions. The use of Chlorella shows promise as an alternative treatment for bacterial fish pathogens in aquaculture due to its antibacterial properties, safety, and sustainability. However, challenges such as cost-effectiveness and standardization need to be addressed for successful implementation in the aquaculture industry.