Abstract Background The bluetongue virus serotype 3 (BTV‐3) outbreak in the Netherlands in 2023 caused severe clinical signs in ruminants. The clinical and pathological signs in ruminants and their spread during the outbreak in 2023 are described. Methods Data from the Dutch monitoring and surveillance system were available to describe clinical signs and pathological findings related to BTV‐3 in sheep, cattle and goats. During the outbreak, 13 farms (five sheep, five cattle and three dairy goats) were closely monitored. Results In 2023, BTV‐3 infections were confirmed by real‐time polymerase chain reaction in sheep flocks ( n = 1807), cattle herds ( n = 1864), goat herds ( n = 62), alpaca and/or llama herds ( n = 15) and one dog. Sheep exhibited the most severe clinical signs and had the highest mortality. In other animal species, a large variation in both occurrence and severity of clinical signs was observed. Limitation Only 13 farms were closely monitored. Conclusions The clinical signs observed in affected animals during the 2023 BTV‐3 outbreak seem to be more severe than those observed during the BTV‐8 outbreak between 2006 and 2008. It seems likely that BTV‐3 will overwinter, similar to BTV‐8. Therefore, the availability of an effective and safe vaccine is crucial to limit the future impact of BTV‐3.