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Water is a vital resource essential to the survival and development of all creatures. With the rapid growth of industry and agriculture, people face a severe threat of ecological destruction and environmental pollution while living earthly lives. Water pollution, in particular, harms people’s health the most. As a result, water supply security has become a top priority. As a critical point in water supply safety, monitoring water quality effectively and forecasting sudden water contamination on time has become a research hotspot worldwide. With the rapid development and wide applications of artificial intelligence and computer vision technologies, biological activity identification-based intelligent water quality monitoring methods have drawn widespread attention. They were taking fish activities as the water-quality indicator has gained extensive attention by introducing advanced computer vision and artificial intelligence technologies with low cost and ease of carrying. This article comprehensively reviews recent progress in the research and applications of machine vision-based intelligent water quality monitoring and early warning techniques based on fish activity behavior recognition. In detail, it addresses water quality-oriented fish detection and tracking, activity recognition, and abnormal behavior recognition-based intelligent water quality monitoring. It analyzes and compares the performance and their favorite application conditions. Finally, it summarizes and discusses the difficulties and hotspots of water quality monitoring based on the fish’s abnormal behavior recognition and their future development trends.