In a laser resonator with an intra-cavity spiral phase plate, a passive Q-switched pulsed vortex laser carrying a positive unit topological charge is formed by the coherent superposition of the supported off-axis multiple-pass transverse (MPT) resonant modes. Under different pumping conditions, the modal interaction induces spatiotemporal instability and results in periodic and aperiodic oscillations in the vortex laser pulses while the vortex structure remains stable. The constituting off-axis MPT modes that form the vortex strongly overlap in the time domain and can be simulated by a modified Tang–Statz–DeMars model including coherent modal interactions. Expected potential applications using this vortex laser include the manipulation of laser chaos and stochastic events.