Pathogen-caused stem and root decay are becoming increasingly common in Norway spruce (Picea abies (L.) H. Karst) which is believed to contribute to greater stand instability and susceptibility to wind-inflicted damage. Thus, this study aims to assess the effect of root and stem decay on Norway spruce vulnerability to wind-inflicted mortality in monospecific and mixed stands, to widen our base of knowledge on potentially more resilient spruce forest management approaches in hemiboreal forest zone. In this study we used data from: i) the National Forest inventory (NFI), ii) 34 observation plots established in wind-affected stands, iii) two transects (9200 m long, 36.8 ha inspection area combined), iv) and monospecific spruce plantation thinning experiment (five thinning intensities with two repetitions of each) affected by wind. We found that the total mortality of spruce during the NFI four five-year re-measurement cycles (2003–2007, 2008–2012, 2013–2017, 2018–2022) was 2.28 %, during which the main disturbance-causing agents were wind at 0.86 %, pests at 0.41 %, intra/interspecific competition at 0.37 %, and diseases at 0.36 %. NFI data-based multinomial logistic regression model revealed that the probability of wind-inflicted spruce mortality is dictated by soil moisture regime, stand age, stand stocking level, and tree decay presence. Results from the 34 established observation plots show that wood decay is a potential risk factor associated with wind damage occurrence in spruce stands. In a spruce stand, when a group of trees are damaged by wind the proportion of undecayed trees increases. Whereas a single tree is more likely to be attributed to decay caused wind damage.Results point towards deciduous broadleaf admixture having a positive effect on mitigating wind damage among non-decayed spruce trees: however, decayed trees, are more likely to be affected in such stands. The thinning experiment portion of this study suggests that increasingly intensive thinning in monospecific spruce stands will lead to an increasing spread of root and stem decay and thus the risk of wind damage. Therefore, from this perspective, the main goal is to reduce the root and stem decay presence in the stand and thus increase wind stability. We suggest further research to be directed into finding the optimal initial spruce seedlings density with a combination of coniferous and deciduous broadleaf species in order to mitigate root and stem decay presence and wind-inflicted spruce mortality in the forest stands.