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Sludge generated in intensively managed tilapia fingerling breeding ponds near the Itaparica Dam in the semi-arid Brazilian northeastern region was tested as a soil conditioner to produce lettuce in an effort to mitigate the present environmental impact of the deposition of this sludge, thereby giving it a productive destiny. A greenhouse experiment was performed by mixing the sludge with a Haplic Planosol topsoil, a characteristic soil of the region, so that the sludge corresponded to 0, 25, 50, 75, and 100% of the mixture (substrate). The experiment was set up as a randomized block design with five blocks, each with three pots (5-kg substrate per pot) of the five sludge proportion treatments. One lettuce plant was transplanted into each pot, maintained under greenhouse conditions, and harvested 35 days after transplanting. Sludge, soil, and the substrates were evaluated for nutrient concentration and physical characteristics. Green and dry weights, stem diameter, and nitrogen, phosphorus, and potassium concentrations in the aboveground parts of the lettuce plants were determined. Sludge incorporation into the substrate improved its chemical and physical characteristics. The lettuce plants grew best in the substrate with 75% sludge, increasing its biomass production by 50% and more than doubling its nitrogen uptake.