The effects of replacing fish meal (FM) in the diet with defatted mealworm larvae meal (DMLM) on growth, carcass, and biochemical constituents of serum of Japanese quail chicks were investigated. A total of 600 unsexed one-day-old chicks were allotted to five dietary treatments with six replicates of 20 chicks each. The diets were formulated by replacing FM with DMLM at the levels of 25% (D25), 50% (D50), 75% (D75), and 100% (D100). The FM, D25 and D50 diets resulted in greater final bodyweight, higher bodyweight gain, and improved feed conversion ratio compared with the other diets. Diets that contained DMLM decreased the feed intake compared with the FM diet. The FM and D25 diets increased the hot and cold carcass yields compared with the other diets, whereas the D75 and D100 diets significantly enhanced the relative weight of the small intestine and abdominal fat compared with FM, D25, and D50. The replacement of FM with DMLM reduced the serum globulin, total cholesterol and triglyceride levels, and the albumin to globulin ratio significantly. The best protein and energy efficiency ratios and European efficiency factor were obtained with the D25 and D50 diets. In conclusion, the replacement of FM with DMLM at the levels of 25% and 50% produced positive results in growth performance, in serum albumin to globulin ratio, and in nutrient use efficiency in quail.