This study was conducted to develop a fish-based Multi-metric Index (MMI) for assessing the ecological health of lake ecosystems using fish assemblage data collected from the national lake biomonitoring program between 2022 and 2024. A total of 34 fish assessment metrics widely used in the United States, Europe, and Korea were first reviewed for applicability, from which 16 candidate metrics were selected. These candidate metrics were then evaluated in terms of statistical distribution characteristics, correlations with water quality variables, redundancy among metrics, and consistency with existing river-based metrics used in Korea. Based on these evaluations, eight core indicators and four supporting indicators were finalized. For ecological health scoring, boundary values for metric scoring classes were determined using percentiles (10-25-50-75-90%), and metric weights were applied to ensure balanced contribution and discriminative power among classes. The final set of metrics consisted of three indicators in the Diversity/Richness category, two in the Trophic category, two in the Tolerance category, and one in the Individual Health category, collectively reflecting the ecological responses of fish assemblages in lake environments. The developed MMI framework is expected to provide a robust and applicable tool for future ecological assessments and management of lakes in Korea.