The study objective was to determine the effects of Bacillus subtilis PB6 and/or chromium propionate supplementation on health, growth performance, and carcass characteristics of high-risk beef cattle during a 56-d feedlot receiving period and the subsequent finishing period. Four truckload blocks of crossbred beef bulls (n=300) and steers (n=84; BW = 220 ± 16.2 kg) were sourced from regional auction markets and assigned randomly to treatments arranged in a 2 × 2 factorial. The generalized complete block design consisted of 12 pen replications per treatment with pen as the experimental unit. Treatments were: 1) placebo control (CON); 2) 13 g/animal daily of B. subtilis PB6 (CST); 3) 450 ppb DM chromium propionate (CHR); and 4) 13 g/animal daily of B. subtilis PB6 and 450 ppb DM chromium propionate (CST+CHR). Treatments were top dressed in feed bunks daily using 0.45 kg/animal ground corn carrier immediately following feed delivery. Data were analyzed using mixed models. During the receiving period, DMI increased (P ≤ 0.03) for CST during each interim period. Overall receiving period daily DMI was 0.35 kg/animal greater for CST (P = 0.01). Cattle fed CST had greater (P ≤ 0.06) BW on days 14, 28, and 56. Likewise, ADG was improved for CST from day 0 to 14 (P = 0.04) and for the overall receiving period (day 0 to 56; P = 0.04). From days 0 to 14, CST tended (P = 0.08) to increase G:F. During the finishing period, CHR reduced (P = 0.02) final BW and ADG (day 56 to final; P = 0.01) and ADG was less for CHR over the entire feeding period (day 0 to final; P = 0.03). Main effect of both CST (P = 0.02) and CHR (P = 0.03) decreased the overall treatment rate for bovine respiratory disease (BRD), and CST reduced overall antimicrobial treatment cost by $3.50 per animal compared to CON (P = 0.03). Hot carcass weight decreased (P = 0.01) in cattle fed CHR. Percentage of edible livers tended to increase (CST × CHR; P = 0.08) in the CST treatment. Feed intake and growth performance outcomes during the receiving period were improved by CST but not CHR supplementation. However, both CST and CHR supplementation decreased BRD morbidity rate. During the finishing period, performance and HCW were reduced in cattle supplemented with CHR.