ABSTRACT Hemeroby and naturalness are indicators of ecosystem health and can be used to assess the state of aquatic macrophyte communities in floodplain landscapes under anthropogenic pressure. This article verifies the hypothesis that hemeroby and naturalness are distinguished by specific spatial patterns. Hemeroby is sensitive to changes in the level of anthropogenic pressure under conditions of a high level of ecosystem transformation. Naturalness is capable of responding to environmental disturbances of both natural and anthropogenic origin and is sensitive to changes in the state of ecosystems as they approach natural conditions. The variability of the naturalness of aquatic macrophyte communities does not depend on the direction of spatial patterns. Accounting for the directionality of spatial patterns provides a better explanation for the small-scale component of community hemeroby variability.