Psettarium anthicum sp. n. (Digenea: Sanguinicolidae) infects the myocardium and atrial wall of the cobia Rachycentron canadum (Linnaeus, 1766) (Rachycentridae) in the northern Gulf of Mexico off Mississippi, USA. It is the first member of Psettarium Goto et Ozaki, 1930 reported from other than the Indian Ocean or Pacific Ocean and the second species of the genus reported from cobia. It differs from its congeners by the combination of having posterior caeca with lateral projections appearing as thorns in lateral view and the male pore anterior to the oötype. The species of Psettarium, P. japonicum (Goto et Ozaki, 1929) (type species), P. tropicum Manter, 1940, P. sebastodorum Holmes, 1971, P. rachycentri (Lebedev et Parukhin, 1972) comb. n. (syn. Psettarioides rachycentri Lebedev et Parukhin, 1972) and P. anthicum sp. n., differ from other sanguinicolids by the combination of having an elongate body with a sinistral posterolateral protuberance, minute, straight tegumental body spines in ventrolateral transverse rows, posterior caeca greater than seven time the anterior caeca length, the oötype near the posterior end of the body, a uterus primarily between the ovary and oötype and an oviduct and vitelline duct extending posteriad primarily between the uterus and dextral body margin. We emend Psettarium and provide a diagnostic key to the species. Psettarioides is regarded as a junior synonym of Psettarium because herein we return its type species, P. tropicum, to Psettarium. Regarding the three other sanguinicolids formerly of Psettarioides, we suspect that P. pseudupenei Lebedev et Parukhin, 1972 belongs to Psettarium but include it only tentatively pending an examination of type or other material; we tentatively place P. kurochkini Parukhin, 1976 in Cardicola Short, 1952; and we designate P. grandis (Lebedev et Mamaev, 1968) as incertae sedis pending examination of type or other appropriate material.