Abstract Mixed-severity disturbance regimes are prevalent in temperate forests worldwide, but key uncertainties remain regarding the variability of disturbance-mediated structural development pathways. This study investigates the influence of disturbance history on current structure in primary, unmanaged Norway spruce (Picea abies) forests throughout the Carpathian Mountains of central and eastern Europe, where windstorms and native bark beetle outbreaks are the dominant natural disturbances. We inventoried forest structure on 453 plots (0.1 ha) spanning a large geographical gradient (>1,000 km), coring 15–25 canopy trees per plot for disturbance history reconstruction (tree core total n = 11,309). Our specific objectives were to: (1) classify sub-hectare-scale disturbance history based on disturbance timing and severity; (2) classify current forest structure based on tree size distributions (live, dead, standing, downed); (3) characterize structural development pathways as revealed by the association between disturbance history and current forest structural complexity. We used hierarchical cluster analysis for the first two objectives and indicator analysis for the third. The disturbance-based cluster analysis yielded six groups associated with three levels of disturbance severity (low, moderate, and high canopy loss) and two levels of timing (old, recent) over the past 200 years. The structure-based cluster analysis yielded three groups along a gradient of increasing structural complexity. A large majority of plots exhibited relatively high (53%) or very high (26%) structural complexity, indicated by abundant large live trees, standing and downed dead trees, and spruce regeneration. Consistent with conventional models of structural development, some disturbance history groups were associated with specific structural complexity groups, particularly low-severity/recent (very high complexity) and high-severity/recent (moderate complexity) disturbances. In other cases, however, the distribution of plots among disturbance history and structural complexity groups indicated either divergent or convergent pathways. For example, multiple disturbance history groups were significantly associated with the high complexity group, demonstrating structural convergence. These results illustrate that complex forest structure – including features nominally associated with old-growth – can be associated as much with disturbance severity as it is with conventional notions of forest age. Because wind and bark beetles are natural disturbance processes that can induce relatively high levels of tree mortality while simultaneously contributing to structural complexity and heterogeneity, we suggest that forest management plans allow for the stochastic occurrence of disturbance and variable post-disturbance development trajectories. Such applications are especially appropriate in conservation areas where biodiversity and forest resilience are management objectives, particularly given projections of increasing disturbance activity under global change.