Multimodal large language models (MLLMs) have advanced rapidly in remote-sensing analysis, yet existing evaluations remain predominantly 2D-centric. Because spectrally confused regions can appear nearly identical yet differ substantially in vertical structure, appearance alone is often insufficient for reliable semantic interpretation in natural scenes. Vertical structure therefore provides decision-critical physical evidence, yet whether current MLLMs can effectively perceive, ground, and utilize such geometric evidence remains underexplored. To bridge this gap, we introduce VertiCue-Bench, the first diagnostic benchmark that uses controlled interventions to probe whether vertical height evidence is actually perceived, grounded, and utilized, and we establish a three-stage evidence-utilization framework of Perception--Grounding--Utilization. By constructing a Representation Intervention Spectrum spanning multiple presentation and interaction modalities, including Raw Visual, Tool-assisted, and Oracle Text conditions, together with controlled counterfactual tests, we conduct an in-depth disentangled diagnosis across 10 state-of-the-art models. Our experiments reveal and formally characterize the Vertical Structure Utilization Gap. Although current models exhibit emerging geometric perception capabilities, they still struggle to accurately ground vertical evidence to relevant spatial entities and integrate it into high-level semantic decisions. This finding identifies a critical bottleneck in developing physically grounded and geometry-aware remote-sensing MLLMs.

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