The study analyzes the effect of laser power and velocity on the structural phase state and properties of complex-alloyed titanium alloy VT23 (Ti–Al–V–Mo–Cr–Fe) obtained by direct laser deposition. VT23 titanium alloy has a unique combination of strength, corrosion resistance, and biocompatibility, which makes it in demand in the aerospace and medical industries. However, traditional manufacturing methods (casting, stamping) often fail to provide the required accuracy and quality of complex parts. In this work, X-ray phase analysis and optical metallography revealed that the deposited samples consist of α- and β-phases (~20 % β-phase) with a typical “basket weave” structure. In macrostructure of the obtained samples, thermal bands and interlayer boundaries were recorded, the formation of which is associated with the peculiarities of crystallization process during direct laser deposition. The results of optical metallography showed that microstructure of the deposited material combines large columnar crystals in the overlap areas of two adjacent layers, as well as small equiaxed grains. Despite this distribution of structural components, the microhardness (~488 HV