OBJECTIVE: Our paper focuses on psychosocial risks that are under-researched within the fishing industry. The study was conducted in Denmark. Firstly, we investigated how Danish fishers perceive their psychosocial work environment. Secondly, we formed a group of industry partners and stakeholders with the purpose of designing ways to mitigate the reported stressors. METHODS: The study design is action research, employing qualitative co-creative methods for data collection in both the first and the second stages. The methods include chronicle workshops and design thinking workshops. Participants in the workshops came from different stakeholder groups, including fishers. We ensured that the focus remained on centering the voices of the fishers to understand the psychosocial risks within the industry context. RESULTS: In the first stage, we used thematic analysis, which led to the identification of ten themes: (1) discouragement, (2) stress, (3) poor economy, (4) negative atmosphere, (5) distrust, (6) injustice, (7) fear, (8) unpredictability, (9) powerlessness, and (10) lost pride. This study explored the key risks and highlighted that a lack of influence and meaning, reduced rewards, and increased unpredictability are likely to lead to increased stress in an environment that lacks social support. CONCLUSION: Existing research into the psychosocial working environment has established six dimensions where an imbalance leads to negative health effects. They are sometimes referred to as "the 6 gold nuggets" where an imbalance leads to negative health effects. We compared our themes to these gold nuggets and identified a clear overlap, which gave us confidence in the relevance of our data. Through the workshops, we co-created six recommendations to address the reported risks and provide policymakers with actionable recommendations.