In late 2017, Tourniquet began recording their tenth studio album. A week into 2018, the band announced that the album would come out shortly. On March 17, 2018, the band announced that Deen Castronovo (Fear Factory, Ozzy Osbourne) was performing vocals for the title track of the album. A month later, Tourniquet announced the lineup of the title track, rounding it out with Chris Poland returning on lead guitars. The album, "Gazing at Medusa", was released in 2018. Tourniquet's third compilation album, "The Epic Tracks", was released in 2019. In July 2020, the band announced their 11th studio album, "The Slow Cosmic Voyage to Wisdom", which would feature doom metal renditions of many old songs, as well as a few new songs.