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Mass mortality of Diadematidae urchins, caused by the Diadema antillarum scuticociliatosis Philaster clade (DScPc) , affected the Caribbean in spring 2022 and subsequently spread to the eastern Mediterranean, Red Sea, and western Indian Ocean. A key question around Diadematidae scuticociliatosis (DSc), the disease caused by the scuticociliate, is whether the urchin microbiome varies between scuticociliatosis-affected and grossly normal urchins. Tissue samples from both grossly normal and abnormal Diadema antillarum were collected in the field during the initial assessment of the DSc causative agent and from an experimental challenge of DScPc culture on aquacultured D. antillarum . Specimens were analyzed using 16S rRNA gene amplicon sequencing. Additional abnormal urchin samples were collected from the most recent outbreak site in the western Indian Ocean (Réunion Island). At reference (i.e., unaffected by DSc) sites, Kistimonas spp. , Propionigenium spp., and Endozoicomonas spp. were highly represented in amplicon libraries. DSc-affected urchin amplicon libraries had lower taxonomic richness and a greater representation of taxa related to Fangia hongkongensis and Psychrobium spp. Amplicon libraries of urchins experimentally challenged with the DSc pathogen had some shifts in microbial composition, but F. hongkongensis was not a part of the core bacteria in DSc-challenged specimens. DSc-affected Echinothrix diadema from Réunion Island showed a similar high representation of F. hongkongensis as that seen on Caribbean D. antillarum . Our results suggest that DSc alters Diadematidae microbiomes and that F. hongkongensis may be a candidate bacterial biomarker for DSc in environmental samples. The mechanism driving microbiome variation in host-pathogen interactions remains to be explored.IMPORTANCEThe mass mortality of Diadematidae urchins due to Diadema antillarum scuticociliatosis (DSc) has had significant ecological impacts, spreading from the Caribbean to the eastern Mediterranean, Red Sea, and western Indian Ocean. This study investigates whether the microbiome of urchins varies between those affected by DSc and those that are not. Using 16S rRNA gene amplicon sequencing, researchers found that DSc-affected urchins had lower taxonomic richness and a greater representation of Fangia hongkongensis and Psychrobium spp. The findings indicate that F. hongkongensis could serve as a bacterial biomarker for DSc in environmental samples, providing a potential tool for early detection and management of the disease. Understanding these microbiome changes is crucial for developing strategies to mitigate the spread and impact of DSc on marine ecosystems.