They've Actually Gotten Worse Live! is a live album by punk rock band NOFX. The album is their second live recording, following their 1995 album I Heard They Suck Live!!

On September 26, 2007, the band posted a bulletin from their MySpace profile with the following regarding the album:

"Ever done something you regret while drunk? I know, I know… so embarrassing right? Ever woken up and rubbed your pounding skull and said, “What did I do last night?” Oh man…you should have seen yourself… first… you got totally blitzed and then… then… this is the best part… YOU RECORDED A LIVE RECORD! That’s right, back in January, NOFX booked 3 nights of talking mixed with the occasional song at Slim’s in San Francisco and recorded a live record. It’s their sloppiest, drunkest, funniest, best sounding recording ever with new versions of old songs, rare songs and they even made sure not to play any songs off their 1995 live album I Heard They Suck Live!!. They’ve Actually Gotten Worse Live is scheduled to make the walk of shame into record stores sometime in November."

On October 3, 2007 the band released the track listing for the album, which includes rarities and alternate versions of previously released songs. On November 12, the band released previews of two songs, "You're Wrong" and "Lori Meyers," for download on their MySpace profile.