There are several synonyms for the phrase "gone downhill," which conveys a sense of deterioration or decline. One of the most commonly-used alternatives is "gone to seed," which implies that something or someone has let themselves go and is no longer thriving. Other phrases that can be used interchangeably with "gone downhill" include "fallen apart," "gone to pot," "on the decline," "deteriorating," and "degenerating." These phrases can be used to describe anything from a failing business or relationship to a physical object that is falling apart or no longer functioning properly. Overall, they convey a sense of negativity and suggest that the situation being described is in need of attention or repair.