Freshwater finfish aquaculture accounted for over 53.4 million tonnes (43.64% of total global aquaculture production) in 2020, with cyprinids, tilapias, and catfishes representing the vast majority of volume. This chapter provides a comprehensive review of key infectious diseases impacting warmwater freshwater finfish in pond and cage culture systems. Major viral pathogens examined include Tilapia Lake Virus (TiLV), Tilapia Parvovirus (TiPV), Carp Edema Virus (CEV), Koi Herpesvirus (KHV), Grass Carp Reovirus (GCRV), and Channel Catfish Virus (CCV). Key bacterial diseases discussed comprise motile Aeromonas septicaemia (MAS), Pseudomonas septicaemia, Edwardsiellosis, Francisellosis, Columnaris disease, and Streptococcosis caused by Streptococcus agalactiae and S. iniae. In addition, water moulds (Saprolegnia, Aphanomyces invadans) and prominent parasitic taxa—such as ciliates (Ichthyophthirius multifiliis, Trichodina), dinoflagellates, myxozoans, monogeneans (Dactylogyrus, Cichlidogyrus, Gyrodactylus), and crustacean ectoparasites (Argulus)—are detailed with respect to pathology, diagnostics, and biosecurity control strategies. Finally, the chapter assesses how climate change drivers, including rising temperatures and extreme weather events, exacerbate disease dynamics in key tropical aquaculture regions.