From my research, garum was a ticker paste that involved a lot more solids. Most fish sauces, especially the Asian ones that get used in the western world, tend to be clear.
Last time I was in Thailand I delved into foods made with tai pla. It's a sauce that is thicker and made from fish entrails. Based on descriptions of garum I've read, this seems to be very close.
It's tough to accurately describe taste and flavor in literature.