Regarding the need to replace chemical drugs with natural ones, using medicinal plants in aquaculture industry has recently attracted scholars’ attention. However, considering the lack of knowledge about the biological effects of medicinal plants on different species of aquatic animals, conducting preclinical evaluations seems essential. Therefore, this study was done to evaluate the preclinical effects of marshmallow extract (Althaea officinalis L. ) on blood cells and certain biochemical parameters of common carp liver. 150 common carp (weighing 37. 65 ± 4. 40 g) were fed marshmallow extract 0. 0% (control), 0. 25, 0. 5 and 1% per kg diet for 60 days. On days 30 and 60 of the experiment, blood cells and indices, as well as liver enzymes were measured. A significant difference (p > 0. 05) was found in red and white blood cell counts, hemoglobin concentration, MCV, MCH, and MCHC, the number of neutrophils, basophils, and eosinophils during 60 days of feeding fish different concentrations of marshmallow extract. Marshmallow extract 0. 5 and 1% per kg diet significantly increased (p < 0. 5) lymphocytes on days 30 and 60. However, a decrease was found in monocytes of fish treated with extract 0. 5 and 1% on days 30 and 60 compared with the control group. Administration of marshmallow extract 0. 25 and 0. 5% had no negative effects on liver enzymes. A significant increase in hepatic AST, ALT, ALP, and LDH levels in fish treated with extract 1% may indicate cytotoxicity. Therefore, according to the findings of this study, preclinical treatment of marshmallow extract (0. 25 and 0. 5% concentrations) is clinically approved in common carp.