Parasitism is ubiquitous in the animal kingdom. Although many fundamental aspects of host-parasite relationships have been unravelled, few studies have systematically investigated how parasites affect organismal movement. Here we combine behavioural experiments of Schistocephalus solidus infected sticklebacks with individual-based simulations to understand how parasitism affects individual movement ability and thereby shapes social interaction patterns. High-resolution tracking revealed that infected fish swam, accelerated, and turned more slowly than did non-infected fish, and tended to be more predictable in their movements. Importantly, the strength of these effects increased with increasing parasite load (proportion of body weight), with more heavily infected fish showing larger changes and impairments in behaviour. When grouped, pairs of infected fish moved more slowly, were less cohesive, less aligned, and less temporally coordinated than non-infected pairs, and mixed pairs were primarily led by the non-infected fish. These social patterns also emerged in simulations of self-organised groups composed of individuals differing similarly in speed and turning tendency, suggesting infection-induced changes in mobility and manoeuvrability may drive collective outcomes. Together, our results demonstrate how infection with a complex life-cycle parasite affects the movement ability of individuals and how this in turn shapes social interaction patterns, providing important mechanistic insights into the effects of parasites on host movement dynamics. Parasitism is ubiquitous across the animal kingdom, with parasites often exerting considerable influence on their hosts by consuming energy and inducing morphological, physiological, and behavioural changes 1-3. Parasites have been best studied in terms of their ecological and evolutionary effects on hosts 1,4 , but may also have large effects on host behaviour 2. Besides potential manipulation of the host, parasites also often change their host's morphology and physiology, which may strongly alter its movement dynamics 2,5 , such as by reducing the energy available to allocate to movement or by compromising their movement capacity and mobility. So far, few studies have systematically investigated the mechanistic basis of such potential behavioural modifications 2,5 or considered the repercussions this may have for social interactions and collective outcomes via self-organising effects 6,7. Three-spined sticklebacks (Gasterosteus aculeatus) infected with the flatworm Schistocephalus solidus are a host-parasite model system with well-documented parasite effects on host behaviour 8,9. S. solidus is a complex life-cycle parasite that has to sequentially infect a copepod, the three-spined stickleback, and a fish-eating bird to survive and reproduce. It is often proposed that parasites with complex life cycles manipulate their host's behaviour in order to increase their probability of transmission to their final host 4. However, the parasite may also affect behaviour via energ...