diff --git a/frontend/src/Components/Form/RootFolderSelectInputConnector.js b/frontend/src/Components/Form/RootFolderSelectInputConnector.js
index ea4cd2ae2..941b9a2ce 100644
--- a/frontend/src/Components/Form/RootFolderSelectInputConnector.js
+++ b/frontend/src/Components/Form/RootFolderSelectInputConnector.js
@@ -9,14 +9,17 @@ const ADD_NEW_KEY = 'addNew';
 function createMapStateToProps() {
   return createSelector(
     (state) => state.settings.rootFolders,
+    (state, { value }) => value,
+    (state, { includeMissingValue }) => includeMissingValue,
     (state, { includeNoChange }) => includeNoChange,
-    (rootFolders, includeNoChange) => {
+    (rootFolders, value, includeMissingValue, includeNoChange) => {
       const values = rootFolders.items.map((rootFolder) => {
         return {
           key: rootFolder.path,
           value: rootFolder.path,
           name: rootFolder.name,
-          freeSpace: rootFolder.freeSpace
+          freeSpace: rootFolder.freeSpace,
+          isMissing: false
         };
       });
 
@@ -25,7 +28,8 @@ function createMapStateToProps() {
           key: 'noChange',
           value: '',
           name: 'No Change',
-          isDisabled: true
+          isDisabled: true,
+          isMissing: false
         });
       }
 
@@ -39,6 +43,15 @@ function createMapStateToProps() {
         });
       }
 
+      if (includeMissingValue && !values.find((v) => v.key === value)) {
+        values.push({
+          key: value,
+          value,
+          isMissing: true,
+          isDisabled: true
+        });
+      }
+
       values.push({
         key: ADD_NEW_KEY,
         value: '',
diff --git a/frontend/src/Components/Form/RootFolderSelectInputOption.css b/frontend/src/Components/Form/RootFolderSelectInputOption.css
index f7a2759fd..0c62c6646 100644
--- a/frontend/src/Components/Form/RootFolderSelectInputOption.css
+++ b/frontend/src/Components/Form/RootFolderSelectInputOption.css
@@ -18,3 +18,9 @@
   color: var(--darkGray);
   font-size: $smallFontSize;
 }
+
+.isMissing {
+  margin-left: 15px;
+  color: var(--dangerColor);
+  font-size: $smallFontSize;
+}
diff --git a/frontend/src/Components/Form/RootFolderSelectInputOption.js b/frontend/src/Components/Form/RootFolderSelectInputOption.js
index 929b9f342..00825f993 100644
--- a/frontend/src/Components/Form/RootFolderSelectInputOption.js
+++ b/frontend/src/Components/Form/RootFolderSelectInputOption.js
@@ -10,6 +10,7 @@ function RootFolderSelectInputOption(props) {
     value,
     name,
     freeSpace,
+    isMissing,
     isMobile,
     ...otherProps
   } = props;
@@ -29,11 +30,20 @@ function RootFolderSelectInputOption(props) {
         <div>{text}</div>
 
         {
-          freeSpace != null &&
+          freeSpace == null ?
+            null :
             <div className={styles.freeSpace}>
               {formatBytes(freeSpace)} Free
             </div>
         }
+
+        {
+          isMissing ?
+            <div className={styles.isMissing}>
+              Missing
+            </div> :
+            null
+        }
       </div>
     </EnhancedSelectInputOption>
   );
@@ -43,6 +53,7 @@ RootFolderSelectInputOption.propTypes = {
   name: PropTypes.string.isRequired,
   value: PropTypes.string.isRequired,
   freeSpace: PropTypes.number,
+  isMissing: PropTypes.bool,
   isMobile: PropTypes.bool.isRequired
 };
 
diff --git a/frontend/src/Settings/ImportLists/ImportLists/EditImportListModalContent.js b/frontend/src/Settings/ImportLists/ImportLists/EditImportListModalContent.js
index 3f7657a48..19df8e0c6 100644
--- a/frontend/src/Settings/ImportLists/ImportLists/EditImportListModalContent.js
+++ b/frontend/src/Settings/ImportLists/ImportLists/EditImportListModalContent.js
@@ -222,6 +222,7 @@ function EditImportListModalContent(props) {
                     name="rootFolderPath"
                     helpText={translate('RootFolderPathHelpText')}
                     {...rootFolderPath}
+                    includeMissingValue={true}
                     onChange={onInputChange}
                   />
                 </FormGroup>
diff --git a/src/NzbDrone.Core/HealthCheck/Checks/ImportListRootFolderCheck.cs b/src/NzbDrone.Core/HealthCheck/Checks/ImportListRootFolderCheck.cs
new file mode 100644
index 000000000..2d15d6271
--- /dev/null
+++ b/src/NzbDrone.Core/HealthCheck/Checks/ImportListRootFolderCheck.cs
@@ -0,0 +1,70 @@
+using System.Collections.Generic;
+using System.Linq;
+using NzbDrone.Common.Disk;
+using NzbDrone.Core.Books.Events;
+using NzbDrone.Core.ImportLists;
+using NzbDrone.Core.Localization;
+using NzbDrone.Core.MediaFiles.Events;
+
+namespace NzbDrone.Core.HealthCheck.Checks
+{
+    [CheckOn(typeof(AuthorDeletedEvent))]
+    [CheckOn(typeof(AuthorMovedEvent))]
+    [CheckOn(typeof(BookImportedEvent), CheckOnCondition.FailedOnly)]
+    [CheckOn(typeof(TrackImportedEvent), CheckOnCondition.FailedOnly)]
+    [CheckOn(typeof(TrackImportFailedEvent), CheckOnCondition.SuccessfulOnly)]
+    public class ImportListRootFolderCheck : HealthCheckBase
+    {
+        private readonly IImportListFactory _importListFactory;
+        private readonly IDiskProvider _diskProvider;
+
+        public ImportListRootFolderCheck(IImportListFactory importListFactory, IDiskProvider diskProvider, ILocalizationService localizationService)
+            : base(localizationService)
+        {
+            _importListFactory = importListFactory;
+            _diskProvider = diskProvider;
+        }
+
+        public override HealthCheck Check()
+        {
+            var importLists = _importListFactory.All();
+            var missingRootFolders = new Dictionary<string, List<ImportListDefinition>>();
+
+            foreach (var importList in importLists)
+            {
+                var rootFolderPath = importList.RootFolderPath;
+
+                if (missingRootFolders.ContainsKey(rootFolderPath))
+                {
+                    missingRootFolders[rootFolderPath].Add(importList);
+
+                    continue;
+                }
+
+                if (!_diskProvider.FolderExists(rootFolderPath))
+                {
+                    missingRootFolders.Add(rootFolderPath, new List<ImportListDefinition> { importList });
+                }
+            }
+
+            if (missingRootFolders.Any())
+            {
+                if (missingRootFolders.Count == 1)
+                {
+                    var missingRootFolder = missingRootFolders.First();
+                    return new HealthCheck(GetType(), HealthCheckResult.Error, string.Format(_localizationService.GetLocalizedString("ImportListMissingRoot"), FormatRootFolder(missingRootFolder.Key, missingRootFolder.Value)), "#import-list-missing-root-folder");
+                }
+
+                var message = string.Format(_localizationService.GetLocalizedString("ImportListMultipleMissingRoots"), string.Join(" | ", missingRootFolders.Select(m => FormatRootFolder(m.Key, m.Value))));
+                return new HealthCheck(GetType(), HealthCheckResult.Error, message, "#import_list_missing_root_folder");
+            }
+
+            return new HealthCheck(GetType());
+        }
+
+        private string FormatRootFolder(string rootFolderPath, List<ImportListDefinition> importLists)
+        {
+            return $"{rootFolderPath} ({string.Join(", ", importLists.Select(l => l.Name))})";
+        }
+    }
+}
diff --git a/src/NzbDrone.Core/Localization/Core/en.json b/src/NzbDrone.Core/Localization/Core/en.json
index bcae2ad72..222b9b1f2 100644
--- a/src/NzbDrone.Core/Localization/Core/en.json
+++ b/src/NzbDrone.Core/Localization/Core/en.json
@@ -348,6 +348,8 @@
   "ImportFailedInterp": "Import failed: {0}",
   "ImportFailures": "Import failures",
   "ImportListExclusions": "Import List Exclusions",
+  "ImportListMissingRoot": "Missing root folder for import list(s): {0}",
+  "ImportListMultipleMissingRoots": "Multiple root folders are missing for import lists: {0}",
   "ImportListSettings": "General Import List Settings",
   "ImportListSpecificSettings": "Import List Specific Settings",
   "ImportListStatusCheckAllClientMessage": "All lists are unavailable due to failures",