India has experienced significant growth and structural transformation since the Green Revolution and economic liberalization. Despite improvements in various economic, health, and human development indicators, structural transformation has led to uneven growth, benefiting some states more than others. At the consumer level, increased income and opportunities coexist with persistent poverty and poor health outcomes, including undernourishment, over-nutrition, and micronutrient deficiencies. This paper examines the impact of structural transformation on food security and health-related consumption patterns in India at the state level, using year of 2022 data from the Consumer Pyramids Household Survey. The study categorizes states into agriculture-led, urbanizing, and lagging, and analyzes household dietary diversity (HDDS) and intoxicant expenditure, using multiple linear regression to model relationship. Findings reveal that higher household income correlates with lower dietary diversity and increased intoxicants consumption. Additionally, rural areas and lagging states show lower intoxicant expenditures compared to urban areas and states with higher structural transformation. The research underscores the complex relationship between structural transformation, dietary habits, and intoxicants consumption, highlighting the need for targeted interventions to promote healthier consumption patterns amidst India's structural changes.