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Assessments of the environmental status of the Baltic Sea as called for by the Marine Strategy Framework Directive (MSFD) must be based on a set of indicators. A pre-core indicator is the diatom/dinoflagellate index (Dia/Dino index), which reflects the dominance of diatoms or dinoflagellates during the phytoplankton spring bloom. Here we explain the principles of the Dia/Dino index and the conditions for its calculation using examples from two very different water bodies, the Eastern Gotland Basin and Kiel Bay. The index is based on seasonal mean diatom and dinoflagellate biomass values. A precondition for its applicability is the coverage of the bloom. As a criterion, the maximum value of diatom or dinoflagellate biomass has to exceed a predefined threshold, e.g., 1000 μg/L in the investigated areas. If this condition is not fulfilled, an alternative Dia/Dino index can be calculated based on silicate consumption data. Changes in the dominance of these two phytoplankton classes impact the food web because both their quality as a food source for grazers and their periods of occurrence differ. If diatoms are dominant, their rapid sinking reduces the food stock for zooplankton but delivers plenty of food to the zoobenthos. Consequently, the Dia/Dino index can be used to follow the food pathway (Descriptor 4 of MSFD: “food web”). Moreover, a low Dia/Dino index may indicate silicate limitation caused by eutrophication (Descriptor 5 of MSFD: “eutrophication”). The Dia/Dino index was able to identify the regime shift that occurred at the end of the 1980s in the Baltic Proper. Diatom dominance, and thus a high Dia/Dino index, are typical in historical data and are therefore assumed to reflect good environmental status (GES). In assessments of the environmental status of the Eastern Gotland Basin and Kiel Bay, Dia/Dino index GES thresholds of 0.5 and 0.75, respectively, are suggested. The GES thresholds as calculated by the alternative Dia/Dino index are 0.84 and 0.94, respectively.