Gall rust disease caused by Uromycladium falcatarium is a major constraint to the productivity of Falcataria falcata, a fast-growing leguminous tree widely planted in tropical reforestation and agroforestry systems. Despite its ecological and economic importance, the landscape-level environmental and silvicultural drivers of gall rust incidence remain poorly understood. This study examined site-specific factors of disease incidence and severity in 125 plantations spanning five administrative regions and elevation ranges in Mindanao, Philippines. Results showed that both disease incidence and severity increased with elevation, particularly at elevations > 400 m above sea level (ASL), where infection levels frequently exceeded 75% of trees per plot. Stand density emerged as the most consistent structural predictor, with low-density stands (< 1000 trees/ha) having higher incidence and severity. Other contributing factors included insect species richness, high soil water holding capacity, and an interaction between elevation and slope aspect, wherein northeast-facing slopes had higher risk at low elevations. Disease severity was also associated by proximity to roads and an elevation-dependent effect of soil nitrogen. These findings suggest the multifactorial nature of gall rust outbreaks and the need for integrated, site-specific disease management strategies. Maintaining adequate stand density, improving drainage in waterlogged sites, and strategic site planning may reduce disease pressure. The study provides critical baseline information for sustainable F. falcata cultivation and forest health planning in tropical plantation landscapes.