In a review for AllMusic, Scott Yanow wrote: "this date is a bit infamous due to the R&Bish material and a few throwaway tracks.

"[3] Phil Freeman, writing for Burning Ambulance, commented that The Last Album is "easily the weirdest Ayler record, and all the more fascinating for its experimentalism...

'All Love' is quite beautiful, with Ayler playing tenor with great restraint and excellent accompaniment from Bobby Few on piano, and a strong bowed bass solo from Stafford James.

'Toiling' is the polar opposite, going into R&B territory with funky guitar and piano setting the stage for Ayler's strong blues drenched saxophone.

'Desert Blood' starts strong with ripe saxophone, but then goes off the rails with a overwrought vocal duet for Ayler and Parks before pulling it back together for some fine sax at the end.

Ripe potent tenor saxophone opens 'The Birth of Mirth' building in strength and power over deep piano comping.