Integrated Multi-Trophic Aquaculture (IMTA), which integrates multiple species from different trophic levels (fed and extractive species) in a single farming system to enhance resource efficiency and environmental sustainability, is gradually gaining recognition in Bangladesh. Cox’s Bazar, with its extensive coastal resources and long-standing aquaculture tradition, presents a promising region for IMTA expansion, especially in marine water production. Producers in the area have been farming various species with IMTA potential, including finfish, shrimp, seaweed and bivalves. This report provides information collected from stakeholders within the IMTA production landscape in Cox’s Bazar, drawing insights from key informant interviews with local producers and researchers on the current status of their production and the various health challenges and other risks involved with the farming of IMTA species.