As algal blooms grow, they deplete the oxygen in the water and block sunlight from reaching fish and plants. Such blooms can last from a few days to many months. With less light, plants beneath the bloom can die and fish can starve. Furthermore, the dense population of a bloom reduces oxygen saturation during the night by respiration.  And when the algae eventually die off, the microbes which decompose the dead algae use up even more oxygen, which in turn causes more fish to die or leave the area. When oxygen continues to be depleted by blooms it can lead to hypoxic dead zones, where neither fish nor plants are able to survive. These dead zones in the case of the Chesapeake Bay, where they are a normal occurrence, are also suspected of being a major source of methane.
Scientists have found that HABs were a prominent feature of previous mass extinction events, including the End-Permian Extinction.