Wind turbine (WT) foundations with an embedded steel ring (ESR) are widely used in onshore WTs due to construction convenience. The research group found that WT foundations with damage were often accompanied by blade issues. To investigate the potential correlation between aerodynamic imbalance and fatigue damage of the WT foundation with an ESR, this study focuses on a 2 MW WT with an ESR. It investigates the influence of an error in pitch angle (PAE) on the WT’s foundation load and stress, utilizing one year of SCADA data to analyze the fatigue damage caused by PAE. The main conclusions are as follows: Firstly, the effect of PAE on the amplitude value of load and stress is significantly greater than on the average value of load and stress. Secondly, when the PAE is within the range of −3° to 3°, the foundation fatigue damage incurred over one year is minimal, but once this limit is exceeded, the foundation fatigue damage increases dramatically. Thirdly, the peak value of fatigue damage to the foundation caused by PAE does not necessarily occur in the main wind direction, but in the direction with the highest probability of the occurrence of high wind speeds, and the larger the PAE, the more significant the trend.