Diseases are major drivers of the deterioration of coral reefs, linked to major declines in coral abundance, reef functionality, and reef-related ecosystems services1-3. An outbreak of a new disease is currently rampaging through the populations of the remaining reef-building corals across the Caribbean region. The outbreak was first reported in Florida in 2014 and reached the northern Mesoamerican reef by summer 2018, where it spread across the ~ 450-km reef system only in a few months4. Rapid infection was generalized across all sites and mortality rates ranged from 94% to < 10% among the 21 afflicted coral species. This single event further modified the coral communities across the region by increasing the relative dominance of weedy corals and reducing reef functionality, both in terms of functional diversity and calcium carbonate production. This emergent disease is likely to become the most lethal disturbance ever recorded in the Caribbean, and it will likely result in the onset of a new functional regime where key reef-building and complex branching acroporids (a genus apparently unaffected) will once again become conspicuous structural features in reef systems with yet even lower levels of physical functionality.