The objective of this research was to determine if form of calf starter (CS) and addition of a fatty acid blend (FA) influenced intake, growth, digestion, and indices of immune status and stress in calves from 0 to 4 mo of age. Male Holstein calves [n = 48; 41.9 kg of body weight (BW), standard error = 0.7; 2 to 3 d of age] were assigned to receive reconstituted whole milk powder [0.66 kg of dry matter (DM)/d to 39 d, then 0.33 kg of DM/d to weaning at 42 d] without or with added FA. Calf starters were textured (pellet, whole oats, whole corn) or pelleted and were offered for ad libitum consumption from 0 to 56 d, then blended with 5% chopped grass hay and fed from d 57 to 112. Starters contained 20% crude protein (CP) and 38 to 40% starch in the DM. From d 0 to 56, calves were housed individually. From d 57 to 112, calves were grouped into pens by treatment (n = 4/pen). Form of CS during the initial 56 d had no effect on intake or growth, though days with fluid feces (fecal score ≥2.5) were greater when calves were fed textured CS. Feeding FA during the initial 56-d increased average daily BW gain, gain-to-feed ratio, and change in hip width, and reduced the number of days calves were treated with antibiotics. During d 57 to 112, CS form had no effects on any performance measure. Adding FA to CS increased average daily BW gain and hip width change, and tended to improve efficiency of BW gain. Totaltract digestibility was estimated at 4, 6, and 8 wk with 5 calves per treatment, and at 10, 13, and 16 wk of age using pen (n = 3 per treatment) as the experimental unit. Feeding FA increased or tended to increase totaltract digestion of DM, organic matter, starch, neutral detergent fiber (NDF), acid detergent fiber (ADF), CP, and fat at one or more measurement periods. Calves fed a textured CS increased or tended to increase digestion of DM, organic matter, starch, sugar, NDF, ADF, and CP during wk 6 and 8. However, during the second 56-d phase, feeding textured CS reduced or tended to reduce digestion of DM, organic matter, starch, NDF, ADF, and fat during wk 13 and 16. Inclusion of FA in milk increased serum bactericidal activity before weaning. Serum haptoglobin concentration increased 3 d postweaning when calves were fed textured CS. Feeding FA improved animal health, digestion, and performance. Form of CS had few effects on animal performance.