Fish are increasingly used as experimental animals in a wide range of research fields. As of 2022, a quarter of all experimental animals used in Europe are fish, with an upward trend. At the same time, less than 20% of these are zebrafish. At the same time, welfare assessments for experimental fish are in their infancy compared to rodents. This can be attributed to the diversity of species used, the relative recency of fish as go-to model for research, and challenges to assess welfare and pain in non-vocal underwater species. The lack of assessment guidelines and easy-to-use tools is a challenge for researchers (particularly, for newcomers to the field of fish), for ethics committees, and prevents the rigorous implementation of the 3Rs (particularly, refinement). Here, we present an adaptable, user-friendly scoring tool for fish. The parameters contained in the tool are based on a literature review, have been validated by expert interviews, and weighted by a fish pathologist. The tool allows to score individuals as well as groups and provides a visualization of trends. We provide the associated literature and give detailed examples and instructions on the adaptation and use of the scoring tool. We hope that this tool to score fish welfare will empower researchers to include welfare assessment in their routines, foster discussions on fish welfare parameters among scientists, facilitate interactions with ethics committees, and most importantly, enable continuous refinement of fish experiments.