Hydrothermal alteration and mineralization processes can affect the physical and chemical properties of volcanic rocks. Aggressive acidic degassing and fluid flow often also lead to changes in the appearance of a rock, such as changes in surface coloration or intense bleaching. Although hydrothermal alteration can have far-reaching consequences for rock stability and permeability, limited knowledge exists on the detailed structures, extent, and dynamic changes that take place near the surface of hydrothermal venting systems. By integrating drone-based photogrammetry with mineralogical and chemical analyses of rock samples and surface gas flux, we investigate the structure of the evolving volcanic degassing and alteration system at the La Fossa cone on the island of Vulcano, Italy. Our image analysis combines principal component analysis (PCA) with image classification and thermal analysis through which we identify an area of approximately 70 000 m2 that outlines the maximum extent of hydrothermal alteration effects at the surface, represented by a shift in rock color from reddish to gray. Within this area, we identify distinct gradients of surface coloration and temperature that indicate a local variability in the degassing and alteration intensity and define several structural units within the fumarole field. At least seven such larger units of increased activity could be constrained. Through mineralogical and geochemical analysis of samples from the different alteration units, we define a relationship between surface appearance in drone imagery and the mineralogical and chemical composition. Gradients in surface color from reddish to gray correlate with a reduction in Fe2O3 from up to 3.2 % in the unaltered regime to 0.3 % in the altered regime, and the latter coincides with the area of increased diffuse acid gas flux. As the pixel brightness increases towards higher alteration gradients, we note a loss of the initial (igneous) mineral fraction and a change in the bulk chemical composition with a concomitant increase in sulfur content from close to 0 % in the unaltered samples to up to 60 % in samples from the altered domains. Using this approach of combined remote-sensing and in situ analyses, we define and spatially constrain several alteration units and compare them to the present-day thermally active surface and degassing pattern over the main crater area. The combined results permit us to present a detailed anatomy of the La Fossa fumarole field, including high-temperature fumaroles and seven larger units of increased alteration intensity, surface temperature, and variably intense surface degassing. Importantly, we also identify apparently sealed surface domains that prevent degassing, likely as a consequence of mineral precipitation from degassing and alteration processes. By assessing the thermal energy release of the identified spatial units quantitatively, we show that thermal radiation of high-temperature fumaroles accounts for < 50 % of the total thermal energy release only and that the larger part is emitted by diffuse degassing units. The integrated use of methods presented here has proven to be a useful combination for a detailed characterization of alteration and activity patterns of volcanic degassing sites and has the potential for application in alteration research and for the monitoring of volcanic degassing systems.