In November 2016, following Bad Company's UK tour, Ralphs suffered a stroke. His family announced that he was receiving excellent medical care and was recovering in hospital, with all public engagements on hold pending his improvement.
Despite his health challenges, Ralphs' influence on the music industry remains profound. In November 2023, Cherry Red Records released a four-CD compilation titled "On The Run 1984-2013," showcasing his songwriting and guitar prowess. The collection includes solo work and live performances, highlighting his contributions to rock and blues music.
In March 2025, Bad Company was nominated for the Rock & Roll Hall of Fame for the first time. A photo of Ralphs and Kirke was shared on the band's Facebook page, expressing gratitude to fans for their support.
Ralphs' enduring legacy continues to inspire musicians and fans worldwide. His contributions to rock music, both as a member of Mott the Hoople and Bad Company, have left an indelible mark on the genre.