Marine atmospheric turbulence is predominantly characterized by large-scale structures associated with low-frequency wind turbulence. However, conventional turbulence models for assessing wind turbine loads often fall short of adequately integrating these low-frequency wind fluctuations. In this study, we used a model for low-frequency wind fluctuations to generate wind fields representative of offshore wind conditions in the North Sea. The IEA 15 MW reference wind turbine was subjected to three distinct incoming wind fields: high-frequency (3D) turbulence, low-frequency (2D) turbulence combined with high-frequency (3D) turbulence, and 3D turbulence scaled by target or measured standard deviation of wind components. We found that increased damage equivalent loads by incorporating the low-frequency wind fields are only significant for the tower base fore-aft and blade root fore-aft moments. The impact of low-frequency wind turbulence on the damage equivalent loads was more pronounced for below-rated wind speeds. The scaled 3D turbulence yielded the highest lifetime damage equivalent loads, i.e., in the range of 8-18% more than the unscaled 3D turbulence and combined 2D +3D turbulence. This method leads to an overestimation of loads and, hence, more expensive turbines. Incorporating 2D+3D turbulence in wind fields resulted in a 3.8% increase in lifetime damage equivalent loads for the tower base fore-aft and blade root flapwise moments compared to unscaled 3D turbulence. These findings underscore the importance of considering low-frequency wind fluctuations in the turbine design process, especially for a more accurate estimation of loads.