Remote sensing image (RSI) interpretation typically faces challenges due to the scarcity of labeled data, which limits the performance of RSI interpretation tasks. To tackle this challenge, we propose EarthSynth, a diffusion-based generative foundation model that enables synthesizing multi-category, cross-satellite labeled Earth observation for downstream RSI interpretation tasks. To the best of our knowledge, EarthSynth is the first to explore multi-task generation for remote sensing. EarthSynth, trained on the EarthSynth-180K dataset, employs the Counterfactual Composition training strategy to improve training data diversity and enhance category control. Furthermore, a rule-based method of R-Filter is proposed to filter more informative synthetic data for downstream tasks. We evaluate our EarthSynth on scene classification, object detection, and semantic segmentation in open-world scenarios, offering a practical solution for advancing RSI interpretation.