Digenean trematodes are parasites with a complex life cycle that often infest shell-bearing mollusks and produce distinct traces on the host skeleton that are recognizable in the fossil record. Here, three bivalve species (Transennella conradina, Abra segmentum, and Chamelea gallina) from Pleistocene and Holocene deposits of Florida and Italy were used to evaluate the hypothesis that trematode infestation affects shell morphology. The morphological effects of infestation were evaluated using geometric morphometrics and the Pallial Sinus Index (PSI = Pallial Sinus Length / Shell Length). For all three host species: (1) large size classes possess higher trematode prevalence (i.e., proportion of specimens possessing trematode-induced pits within a population) and higher per-specimen frequency of trematode-induced scars when compared to smaller size classes, suggesting ontogenetic accumulation of parasites; (2) infested and non-infested specimens significantly differ in shell landmark-based morphology. Geometric morphometric analyses indicate that in two out of three species (Transennella conradina, Abra segmentum): (1) PSI and thin-plate spline analyses suggest significant pallial sinus reduction in infested specimens relative to non-infested; (2) overall morphospace range, estimated by sample-standardized principal component (PC) hypervolume, was inflated with the inclusion of infested specimens. Consistent with previous studies, results indicate that trematode-induced morphological changes may influence the burrowing capabilities of the studied bivalves, affecting their ecological functioning and fitness. Changes in morphospace induced by trematode parasites hamper species delineation and confound morphometric and disparity patterns in the fossil record of infestation-prone species. Excluding fossil specimens with trematode traces can mitigate those confounding effects. Conversely, comparative morphometric analyses of infested and non-infested host specimens may allow us to investigate host responses to parasites over evolutionary time scales.