Albania has suffered from major earthquakes in the past century that have caused varying levels of damage to buildings. As a result of the number of damaged buildings and loss of life, attention has focused mostly on the poor performance of reinforced concrete and masonry structures in low and mid-rise buildings. This paper presents the results of a reconnaissance visits to the disaster-stricken area in the Durrës region in Albania and covers many zones in the region where historical and modern buildings suffered serious structural damage or collapses during the November 26, 2019, Durrës Earthquake. Special emphasis was placed on masonry and RC buildings, since the damage level was high in these buildings. The consequences of the Durrës earthquake are important for similar masonry and RC building stock in other seismically vulnerable European cities. Regularity of the structural system, quality of the material utilized, the distribution of mass and stiffness through the building, the ratio of openings on masonry walls and diaphragm stiffness have a crucial influence on the structural response. Inappropriate interventions led to serious damage or collapses, resulting in casualties. Examples of numerous damage types, as witnessed during the site visits to the affected region are presented, along with technically explanation of causes for the damages.