In 2000 it was voted number 73 in Colin Larkin's "All Time Top 1000 Albums". Reviewing the 2015 remastered edition of the album, J.C. Maçek III of Spectrum Culture wrote: "With its lack of standard rock and pop clichés of the day and reliance on acoustic piano and an excellent (if unconventional) voice, "Little Earthquakes" sounds as unique today as it did in 1992." "Rolling Stone"s Jessica Machado stated that "nearly 25 years later, the album's emotional highs and lows seem even more impressive for a debut." "Mojo"s Jenny Bulley praised "Little Earthquakes" as a "remarkable, idiosyncratic" debut revealing "a singular creative force from the outset", while "PopMatters"s Alex Ramon stated that it "immediately demonstrates her ability to go right to the heart of an emotional experience and powerfully communicate it through a variety of musical styles." Barry Walters of "Pitchfork" cited "Little Earthquakes" and its follow-up "Under the Pink" as Amos' "milestones" and wrote that "the legacy of these milestones linger over today's underground", citing a number of acts who "all wear their sensitivities as strengths as she did."