A rapid visual assessment (RVA) approach for the characterization and assessment of the integrity of coralligenous reefs was applied in 21 stations subjected to different levels of anthropogenic pressure, along the French Mediterranean coasts. The reefs were characterized from both the geomorphologic and bionomic (biotic cover, conspicuous species richness, canopy-forming species, etc.) points of view, and their health status was estimated through the COARSE (COralligenous Assessment by ReefScape Estimate) index. The sensitivity of the COARSE index and the robustness of the RVA approach to observer biases were analyzed. Results showed that most coralligenous reefs were characterized by (sub) vertical cliffs or platforms with variable slope, usually dominated by biotic facies with Paramuricea clavata and/or Eunicella cavolini in healthy stations, or by algal associations or facies of impoverishment in the most impacted situations. The overall quality scores of the COARSE index generally reflected the putative level of stress of the sampling stations; differences due to observer biases resulted negligible. Coupling the RVA approach with the COARSE index proved an effective protocol for both the characterization and the evaluation of coralligenous reefs: the former is achieved by the analysis of the whole complexity of this habitat, the latter provides for the first time an indication of sea-floor integrity, differently from previous indices that aim at estimating water quality.