We present a novel index that represents, in one combined metric, the integrity of terrestrial ecosystems globally at 1km2 resolution: the Ecosystem Integrity Index (EII). The index provides a simple, yet scientifically robust, way of measuring, monitoring and reporting on ecosystem integrity at any geographical scale. It is formed of three components, structure, composition, and function, and measured against a natural (current potential) baseline on a scale of 0 to 1. The index has been developed to help national governments measure and report on various of the goals and targets being developed within the draft post-2020 global biodiversity framework being negotiated under the Convention on Biological Diversity, and for non-state actor contributions to also be recognized. In doing so, it will enable these actors to make informed decisions on the conservation, restoration and sustainable use of ecosystems for which they are wholly or partly responsible. We find that ecosystem integrity is rapidly declining in terrestrial areas globally, with countries, on average, retaining less than half of their natural ecosystem integrity with a mean EII across all countries of 0.45 (SD: 0.20). This poses a challenge for nations and businesses seeking to halt and reverse decades of loss of nature around the world, but one that is not insurmountable. With sufficient effort, values of EII can increase at national and other scales, representing progress towards the vision of living in harmony with nature.