Fish oil alternatives, such as terrestrial plant oil and its byproducts, may cause poor lipid digestibility in fish due to a large content of saturated fatty acids. Reduced lipid digestibility is assumed to be caused, in part, by hindering bile acid metabolism and thus decreasing emulsification capacity. This study aims to evaluate the potential of dietary bile acid additions to the growth, lipid digestibility, intestinal bile acid levels and liver/intestinal histopathology of rainbow trout, Oncorhynchus mykiss, when using different lipid sources. In a 3 × 3 factorial design, nine iso-lipidic diets were formulated to contain three levels of ox-bile (0, 1 and 3 %) and three lipid sources (fish oil, soybean oil, and palm fat powder). Fish (initial weight of 24.4 ± 1.55 g) were fed to apparent satiation twice daily for nine weeks. Results showed that growth was unaffected by ox-bile and/or lipid source (p > 0.05). However, exchanging fat powder for fish oil or soybean oil resulted in lower dietary lipid and protein digestibility (p < 0.05). Ox-bile significantly improved lipid digestibility (57.3 versus 50 %) in fish fed the fat powder diet (p < 0.05). The fat powder diet significantly decreased whole-body lipid and increased whole-body protein, compared to those fed the fish oil or soybean oil diets (p < 0.05). Both lipid source and ox-bile addition affected the bile acid concentration of proximal and distal intestine (p < 0.05). The fish oil diet led to a lower bile content in distal intestine and tendency toward a lower bile content in proximal intestine (p < 0.05). The fat powder diet caused bile duct enlargement and inflammation in the liver but was mitigated by 1 % ox-bile. In contrast, the livers of trout fed fish oil with 1 or 3 % ox-bile showed inflammation and in some cases necrosis. In conclusion, dietary ox-bile significantly improved lipid digestibility in fat powder-based diets as well as reduced hepatic inflammation. However, inclusions of ox-bile at 3 % in the fish or soybean oil-based diets appeared to show a cytotoxic effect.