We present a novel scheme of structured light laser with an astigmatic mode converter (AMC) as intracavity element, first enabling the generation of Hermite-Gaussian (HG) modes with fully controlled two-dimensional (2D) indices (m,n) and vortex beams carrying orbital angular momentum (OAM) directly from cavity. The 2D tunability was realized by controlling the off-axis displacements of both pump and intracavity AMC. The output HGm,n beam could be externally converted into OAM beam with 2D tunable radial and azimuthal indices (p,l). With the certain parameter control, vortex beam carrying OAM also could be directly generated from the cavity. Our setup provides a compact and concise structured light source. It has great potential in extending various applications of optical tweezers, communications, and nonlinearity.