Monopile foundations are extensively utilized in the rapidly expanding offshore wind power industry, and the stability of these foundations has become a crucial factor for ensuring the safety of offshore wind power projects. Such foundations are subjected to a myriad of complex environmental loads during their operational lifespan. Whilst current research predominantly concentrates on the effects of wind, wave, and current loads on monopile stability in extreme environments, it is imperative to consider the potential influence of unexpected submarine landslide loads. In this study, we provide a comprehensive overview of wind, wave, current, and submarine landslide loads on monopile foundations in extreme environments. Subsequently, we establish a finite element model for analyzing the stability of monopiles under complex lateral loads, and validate the accuracy of the model by comparing it with the previous numerical findings. A case study is performed with reference to the Xiangshui Wind Farm project to analyze the effects of varying submarine landslide densities, velocities, impact heights, and seabed sediment strengths on pile head horizontal displacement, pile rotation at the mudline, and maximum bending moment. The findings indicate that the increase in submarine landslide density, velocity, and impact height leads to an increase in horizontal displacement at the pile head, pile rotation at the mudline, and maximum bending moments, and a horizontal failure mode is observed in seabed sediments. Furthermore, under the same load conditions, a decrease in seabed sediment strength and internal friction angle triggers instability in monopiles, with a noteworthy transition from horizontal failure to deep-seated seabed sediment failure. Finally, we propose a criterion for monopile instability under diverse loading conditions.