Terminal Spirit Disease is the third album by Swedish melodic death metal band At the Gates.

Guitarist Anders Björler commented that he couldn't "remember much" from the recording sessions for Terminal Spirit Disease.

[1] A violin and cello are featured on the song "And the World Returned", cited as an example of the group's attempt to explore "ideas which were a little different".

AllMusic's Eduardo Rivadavia awards the album four out of five stars, and claims 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.

"[2] In a retrospective review, Richard Street-Jammer of Invisible Oranges called the album "the last record before they became legends" and "a fetish for crummy metalcore.