The effect of helium (He) plasma exposure, and associated surface modifications, on the thermal shock resistance of tungsten (W) under ITER relevant steady state and transient heat and particle loads was studied. W samples were exposed to steady state and pulsed He plasmas at surface base temperatures from 670 to 1170 K. The same exposures were repeated in hydrogen (H) to allow a direct comparison of the role of the ion species on the thermal shock resistance. Exposure to He plasma pulses caused the formation of fine cracking network on W samples which occurred at a higher density and smaller depths compared to H pulsed plasma irradiation. The peak temperature reached during an ELM-like plasma pulse increased by a factor ~1.45 over the 100 s of He plasma exposure, indicating a deterioration of the thermal properties. Transient loading experiments were also performed using a high power pulsed laser during He plasma exposure, showing a significant modification of the target thermal response caused by the surface damage. The effect of He-induced morphology changes on the thermal response modification was found to be very small compared to that of transient-induced damage.