Upon release, critical reaction in the UK was largely positive. While
Melody Maker opened its review opining "not quite as fresh as it could have been", they said "it's still a great record. Clapton, Baker and Bruce, working like trojans to construct exciting, free, wild music of life, love and soul", concluding sensational things to come from the group.
Record Mirror noted "their style on this LP is a very mellow and relaxed sort of music, which oozes confidence...sort of progressive British Rhythm and Blues".
Disc & Music Echo claimed "it's good, although not as good, one feels, as it might have been, not enough Eric Clapton for one thing" before picking "Dreaming" as the best track. One person not happy with the album was Clapton himself, who felt its sound was already outdated. In an interview not long after the album's release, he stated "it could have been better. We were working on it so long ago, and we have greatly improved since then. I'm also not completely happy with the production". Writing for the BBC,
Sid Smith notes that "blues, pop and rock magically starts to coalesce to create something brand new". Michael Galluci of
Ultimate Classic Rock concluded the album "helped spur a bigger, louder and heavier way of playing rock 'n' roll...the amount of power the band manages to generate on this album is remarkable. It's safe to assume groups like
Led Zeppelin and
The Who would never have traveled in a similar direction without Cream leading the way." In 2019,
Classic Rock ranked it fourth in their list of the best British
blues rock albums ever, writing that while the "feverishly anticipated" album struggled to live up to expectations, "it is still one of the most important albums in 60s blues rock, and its influence on what came afterwards is immense." They added that Cream and
Fresh Cream were "the sparks that ignited the blues rock explosion, and without them who knows how many of rock's family jewels would not exist today."
The Rough Guide to Rock (1999) contributor Brian Hinton called it "powerful and simple music, with half the songs drawn from
Delta and
Chicago blues." ==Track listing==