Background: Assessing changes in forest ecosystems, especially forest biomass changes that occur due to disturbances, is essential for improving global carbon estimates.Bursaphelenchus xylophilus is an important pest that harms Pinus thunbergii forests, causing a large number of pine trees to wither and resulting in great losses in Pinus thunbergii forest biomass. Studying the factors affecting P. thunbergii) biomass losses caused by Bursaphelenchus xylophilus is of great significance in research on forest ecosystem health and climate change. In this study, taking Nankang District, Ganzhou City, Jiangxi Province as the research area, based on field survey data combined with a random forest model, the relative importance of influencing factors on the biomass loss of P. thunbergii due to the Bursaphelenchus xylophilus-caused disease was analyzed.Results: The results revealed the following conclusions: (1) topographic and slope conditions significantly affected the P. thunbergii) biomass losses caused by the Bursaphelenchus xylophilus-related disease; (2) the two studied stand factors, vegetation type and vegetation coverage, had little effect on the P. thunbergii) biomass losses caused by Bursaphelenchus xylophilus; and (3) the marginal effect diagram showed that the elevation and slope were obviously related to biomass loss; biomass loss was positively related to elevation and negatively related to slope.Conclusions: Our study demonstrated that topographical factors dominantly affect the spread of the Bursaphelenchus xylophilus-caused disease, in turn causing large P. thunbergii forest biomass losses. Therefore, topographic factors affect the prevention and control of the disease caused by Bursaphelenchus xylophilus.