Prolonged periods of extreme heat and drought are changing forest health and forest structure. Loss of vitality, signs of dieback, and mortality of trees are reported in many regions of the world. There is a need for information on the quantification of drought effects on forest structure in order to detect drought stress at an early stage. Furthermore, forest structure is linked to growth processes that result from single tree and stand dynamics. In this study, we used mobile laser scanning to objectively assess forest structure in European beech (Fagus sylvatica L.) stands differently affected by drought. We used the box-dimension as a holistic measure of structural complexity that jointly describes both distribution and amount of plant material in a forest, and canopy cover as a measure for overall defoliation. We observed large canopy gaps in heavily damaged stands, but the overall structural complexity of the forest stands remained unchanged. However, when dividing the 3D forest stand model from mobile laser scanning into 5 m height layers, we noticed a “structural flip” with reduced structural complexity in the upper parts of the forests and increased structural complexity in the lower strata. Keywords: Beech vitality loss, Box-dimension, Deciduous forests, Forest vitality, Structural complexity, Tree growth