In-situ caged rainbow trout (Oncorhynchus mykiss) studies reveal significant fish toxicity and fish stress in a river impacted by headwater acid rock drainage (ARD). Stocked trout survival and aqueous water chemistry were monitored for 10 days at 3 study sites in the Snake River watershed, Colorado, U.S.A. Trout mortality was positively correlated with concentrations of metals calculated to be approaching or exceeding conservative toxicity thresholds (Zn, Mn, Cu, Cd). Significant metal accumulation on the gills of fish stocked at ARD impacted study sites support an association between elevated metals and fish mortality. Observations of feeding behavior and significant differences in fish relative weights between study site and feeding treatment indicate feeding and metals-related fish stress. Together, these results demonstrate the utility of in-situ exposure studies for stream stakeholders in quantifying the relative role of aqueous contaminant exposures in limiting stocked fish survival.