The present invention relates to systems and methods for real-time health monitoring of engines to monitor turbomachinery blades during engine operation and report anomalous behavior and shape of the blades if it occurs, such as damage by FOD. The system includes sensor(s) for obtaining a blade reflection profile from a blade passing by the sensor(s) during a revolution of the rotor in combination with a processor for performing timing calculations and/or fingerprint comparisons with reference data to identify a change in blade fingerprint relative to the reference data, which may indicate blade damage. Such systems can reduce operational costs, enhance safety and improve operational readiness by facilitating condition-based maintenance of engine rotors as opposed to schedule-based solutions. The invention can prevent the needless loss of life and assets caused by undetected minor levels of blade damage that may lead to unexpected catastrophic failure of an engine.