i left fish out for an hour at room temp. Is it still ok?

I always set my fish out on the counter to let it come to room temp before baking. Usually 45-60 minutes. I think you'll be fine.

I've done this so many times and have been completely fine, but honestly use your best judgement. If it smells off, throw it out. If it feels slimy, throw it out. Most times, letting protein get to room temperature before introducing heat actually produces a better sear. I'm sure most recommendations would say to not use it, but again, you know best what you're willing to eat!