 While there is no song on "The Last Spire" matching the album title, a previously-unreleased instrumental track titled "The Last Spire" appears on Cathedral's 2011 live album, "Anniversary".Dorrian described his decision to include the track on "Anniversary" as

The album has received "generally favorable reviews" according to Metacritic.Most reviews focus on the return to a doom-oriented sound and a reduction in the "quirky touches" in evidence on Cathedral albums including "The Ethereal Mirror" and, most recently, "The Guessing Game".