When Layer 2 Direct server return (DSR) is configured, the HTTP/ TCP pool health monitor's destination IP is the VS VIP. For the Ping health monitor, the destination is the backend Server IP.
Following are the commands needed to configure on the server to make the HTTP health monitor work:
netsh interface ipv4 set interface "Ethernet0" forwarding=enabled netsh interface ipv4 set interface "Ethernet1" forwarding=enabled netsh interface ipv4 set interface "Ethernet1" weakhostreceive=enabled netsh interface ipv4 set interface "Loopback" weakhostreceive=enabled netsh interface ipv4 set interface "Loopback" weakhostsend=enabled
Where,
Ethernet0 = Management interface name
Ethernet1 = Data interface name
Loopback = Loopback interface name (VIP)