This study investigated the growth performance, nutrient digestibility, blood profiles and gut integrity of growing pigs, in response to an increase in pickled freshwater fish residue (PFR) intake following a decrease in salt content. Ninety-six crossbred growing pigs [(Landrace × Large White) × Duroc] with a body weight of 23.65 ± 0.24 kg were randomly assigned to one of four treatments (6 pens/treatment, 4 pigs/pen) in a randomized complete block design. The treatments included: a corn-soybean meal based diet without PFR inclusion (CON) or with PFR addition at 5 (PFR5), 10 (PFR10), and 15% (PFR15), respectively. Desalting via soaking and stirring caused a positive reduction in the salt present on the surface of PFR. Over the 42-day feeding period, an increased level of PFR quadratically increased gain:feed ratio such that gain:feed ratio for PFR10 was greater than that for CON (p < 0.05). Pigs fed PFR10 had greater crude protein digestibility, and lower aspartate aminotransferase and crypt depth than those fed the CON diet (p < 0.05). The linear improvements in crude protein and ether extract digestibility, duodenal villus height, and villus:crypt ratio were observed as the PFR content increased (p < 0.05). However, there were no significant effects on average daily feed intake, dry matter and ash digestibility, blood metabolites (total Ca, P, creatinine, and alkaline phosphatase). Altogether, up to 10% PFR can be included in corn-soybean meal diet without impairing protein digestibility and hepatic enzyme alteration. In fact, administering PFR with lower salt content to growing pigs ultimately promotes their growth performance and gut integrity.