Reviews for Terminal Spirit Disease have been mostly positive. AllMusic's Eduardo Rivadavia awarded the album four out of five stars, and claimed that, with this album, "At the Gates raised their creative stakes beyond most everyone's original expectations, and proved that what had once been a pretty standard and uninventive death metal combo was slowly becoming a true contender in the scene."
The album was inducted into Decibel "Hall of Fame" in March 2023.
Track listing
The digipak reissue released in 2003 includes three additional live tracks from the 1993 live-in-studio session for MTV Europe.