Ship collision hazards with floating offshore wind turbines (FOWTs) has been identified and the dynamic responses of FOWT under ship collision scenarios are necessary to be investigated. This paper develops a numerical solver to address the challenge of considering wind-wave loads in the ship-FOWT collision analysis. The user-defined load subroutine, LOADUD, in LS-DYNA is utilized to model the wind, wave and mooring loads. A simplified aerodynamic model considering blade pitch strategy is used and the hydrodynamic loads are calculated based on potential-flow theory with a linear wave kinematic model. The mooring forces are considered with a linearized model. The implementation of the coupled solver is verified by conducting free decay test, wave-only and wind-only analysis, respectively and comparing them with the reference values. Good agreement has been achieved, indicating that the aero-hydro coupling effects can be accurately simulated by the numerical solver. With the developed method and solver, cases of ship collision with a spar-type floating wind turbine are simulated and both local structural deformation and global motions in 6DOF are obtained. The influence of velocity, flexibility of tower, deformability of the ship, wind-wave loads are further discussed. It is found that the impact velocity can greatly affect the structural responses and a high-speed impact can directly lead to tower collapse. By comparing the cases of ship collision with FOWT, and those with fixed-support wind turbine, the flexibility of wind turbine tower is found to rarely influence the energy dissipation under collision scenario of FOWT, while it is important for the collision scenario of fixed-support wind turbine. The wind-wave condition can be more hazardous as a smaller impact velocity can lead to structures collapsing. This is because, even though the structure can withstand the ship collision, the residual strength may not be enough for the following wind loads, which can result in the structure to finally collapse. Additionally, the proposed fully coupled method is used to validate one of the authors’ previous studies, which is a decoupled method regarding the ship-FOWT collision analysis [1]. The external dynamic results from two methods are compared and discussed. Good agreement is reached between two methods for low-velocity impact but for high-speed collision or collisions with serious deformation, limitations of decoupled method can be found because some basic assumptions of them are violated. The proposed method and solver can be used to evaluate the crashworthiness of FOWT during the engineering design phase.