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Last reviewed: 2026-09-03 • Editorial Standards

Oily Fish and Gout: Which Are Safe?

72 foods — Gout Risk Assessment

All Foods

Lower Riskbread, kneel down (navajo) Lower Riskmandarin, seedless, peeled, raw Lower Riskplantains, green, unripe, peeled, raw Lower RiskSalmon roe (Ikura) Lower Risksalmonberries, raw (alaska native) Lower Riskshallots, bulb, peeled, root removed, raw Lower Risksquash, pie pumpkin, peeled, seeded, raw Lower Risksquash, spaghetti, peeled, seeded, raw Medium RiskChub mackerel Medium Riskconger eel, fresh Medium Riskeel, japanese, raw Medium Riskfish, salmon, chum, raw (alaska native) Medium Riskfish, salmon, red, canned, bones removed (alaska native) Medium Riskherring, raw Medium Riskkiwifruit (kiwi), green, peeled, raw Medium Riskmango, ataulfo, peeled, pit removed, raw Medium Riskmango, ataulfo, peeled, raw Medium Riskmango, tommy atkins, peeled, raw Medium Riskpawpaw, peeled, seeded, raw Medium Riskrutabaga, peeled, raw Medium RiskSalmon Medium Risksalmon, canned Medium Risksalmon, chum, raw Medium Risksalmon, mixed species, raw Medium Risksardine, fermented (heshiko) Medium Risksteelhead trout, boiled, canned (alaska native) Medium Risktuna, canned Higher RiskAnchovy (dried) Higher Riskanchovy, canned Higher Riskanchovy, dried Higher Riskanchovy, fresh Higher Riskanchovy, raw Higher RiskBonito Higher Riskbonito, dried Higher Riskc saury Higher Riskfish, salmon, chum, dried (alaska native) Higher Riskfish, salmon, coho (silver), raw (alaska native) Higher Riskfish, salmon, king (chinook), raw (alaska native) Higher Riskfish, salmon, king, with skin, kippered, (alaska native) Higher Riskfish, salmon, red, (sockeye), canned, smoked (alaska native) Higher Riskfish, salmon, red, (sockeye), kippered (alaska native) Higher Riskfish, salmon, sockeye (red), raw (alaska native) Higher Riskfish, tuna, light, canned in water, drained solids Higher Riskherring, canned Higher RiskJack mackerel Higher RiskKatsuobushi (dried bonito) Higher Riskmackerel, canned Higher Riskmackerel, fermented (heshiko) Higher Riskmackerel, jack, half-dried Higher Riskmackerel, japanese, skin, raw Higher Riskmackerel, raw (unspecified) Higher Riskmackerel, spanish, raw Higher Riskmango, tommy atkins, peeled, pit removed, raw Higher RiskNiboshi (dried baby sardines) Higher Riskpacific saury, half-dried Higher Riskpacific saury, raw Higher Riskplantains, black, overripe, peeled, raw Higher Riskplantains, yellow, ripe, peeled, raw Higher Risksalmon, atlantic, farmed, raw Higher Risksalmon, sockeye, wild, raw Higher RiskSardine Higher Risksardine, baby, dried Higher Risksardine, canned Higher Risksardine, half-dried Higher Risksardine, raw Higher Risksteelhead trout, dried, flesh (shoshone bannock) Higher Risktrout, rainbow, raw Higher RiskTuna Higher Risktuna (bonito), raw Higher Risktuna, canned, drained solids Higher Risktuna, chunk light, canned in water, drained solids Higher Risktuna, raw (unspecified)

Frequently Asked Questions

Can I eat oily fish with gout?
It depends on the specific item. Oily fish presents a trade-off: high purines but valuable anti-inflammatory omega-3 fatty acids. Our database rates 72 oily fish items: 21 (29%) are safe, 16 moderate, and 35 should be avoided. Check each food's purine and fructose data before adding it to your gout diet.
Which oily fish are worst for gout?
Among the 72 oily fish items in our database, 35 are rated AVOID — typically due to purines above 150 mg/100g, fructose above 5g/100g, or alcohol content. Browse the full list below sorted by safety rating.

Related Guides

Seafood Safe Foods Avoid Foods Low Purine Foods High Purine Foods
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References

• ACR 2020 Guideline for the Management of Gout
• EULAR 2016 Updated Recommendations for Gout
• USDA+ODS-NIH PURINE DATABASE Release 2, March 2025
• Kaneko K, et al. Biol. Pharm. Bull. 37(5):709-721, 2014

Medical Disclaimer: This website provides informational content only and does not constitute medical advice. Consult a qualified healthcare professional for personalized gout management.
Last reviewed: 2026-09-03