Tripod-supported offshore wind turbine (OWT) foundation must withstand wind, wave, and seismic loads. In addition, it may be threatened by scouring during its service life, which could affect its bearing capacity and the overall OWT dynamic response. This study develops a three-dimensional numerical model of OWT tripod pile foundation to investigate scour effects. The numerical model incorporates a simplified single bounding surface model to simulate the dynamic stress–strain response of clay soil. The results revealed that scouring can reduce the first-order natural frequency of tripod pile-OWT system; however, the reduction usually does not lead to resonance within the 1P frequency range. Nonetheless, as the scour depth increases under wind and wave loads, the horizontal displacement of the wind turbine structure increases monotonously; however, its peak acceleration increases initially then decreases slightly as the scour depth continues to increase. Under seismic loading only, the OWT response exhibits complex evolution pattern as the scour depth increases. On the other hand, the foundation horizontal displacement and rotation angle increase significantly under combined wind-wave-seismic loads when the scouring depth reaches three times the pile diameter. Finally, the scouring depth has a relatively small impact on the foundation vertical displacement.