Lateral-flow assays (LFAs) are rapid and inexpensive, yet they are nearly 1,000-fold less sensitive than laboratory-based tests. Here we show that plasmonically active antibody-conjugated fluorescent gold nanorods can make conventional LFAs ultrasensitive. With sample-to-answer times within 20 min, plasmonically enhanced LFAs read out via a standard benchtop fluorescence scanner attained about 30-fold improvements in dynamic range and in detection limits over 4-h-long gold-standard enzyme-linked immunosorbent assays, and achieved 95% clinical sensitivity and 100% specificity for antibodies in plasma and for antigens in nasopharyngeal swabs from individuals with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Comparable improvements in the assay's performance can also be achieved via an inexpensive portable scanner, as we show for the detection of interleukin-6 in human serum samples and of the nucleocapsid protein of SARS-CoV-2 in nasopharyngeal samples. Plasmonically enhanced LFAs outperform standard laboratory tests in sensitivity, speed, dynamic range, ease of use and cost, and may provide advantages in point-of-care diagnostics.Lateral-flow assays (LFAs) are among the simplest, fastest and cheapest point-of-care (POC) diagnostic methods, and offer broad potential for population-level screening for disease 1,2 . Although numerous LFAs for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies 3-5 and antigens 6,7 have been introduced, none has sensitivity and quantitation comparable to laboratory-based diagnostics such as real-time PCR with reverse transcription (RT-PCR) and enzyme-linked immunosorbent assay (ELISA) [8][9][10] . In general, conventional colorimetric LFAs are ~1,000-fold less sensitive than these standard laboratory tests 11,12 , and diagnosis using LFAs requires an additional confirmatory laboratory-based test to correctly establish negative results. Colorimetric LFAs are often inadequate for quantitative read-outs, owing to limited changes in colour with respect to the variation of the concentration of the target analyte 13 .