Researchers found that adults with type 2 diabetes who consumed at least three servings of fish per week had a 0.6 hazard ratio for myocardial infarction and 1.04 for stroke, compared with those who ate three or fewer servings of fish per month. The accumulated evidence supports an inverse association of fish consumption with cardiovascular disease and mortality, but data among patients with type 2 diabetes is sparse. This study aimed to assess fish consumption in relation to myocardial infarction (MI), stroke and mortality among individuals with type 2 diabetes. Women and men with diagnosed type 2 diabetes (n = 2225; aged 45–84 years) were followed from 1998 through 2012. They identified 333 incident MI events, 321 incident stroke events and 771 deaths (154 with coronary heart disease [CHD] as underlying cause) during follow-up of up to 15 years. The multivariable HRs comparing >3 servings/week with ≤3 servings/month were 0.60 for MI and 1.04 for stroke. HRs for total mortality were lowest for moderate fish consumption of 1–<2 servings/week and 2–3 servings/week compared with ≤3 servings/month. The corresponding HRs for CHD-related mortality were 0.53; 95% CI, 0.32–0.90 and 0.75; 95% CI, 0.45–1.27. Fish consumption was associated with lower MI incidence among individuals with type 2 diabetes, whereas no association was observed with stroke. The data further indicated an association with lower mortality, particularly for CHD-related deaths. These findings support the current general advice on regular fish consumption also in the high risk group of type 2 diabetes patients.