The present invention relates to a negative electrode active material for a rechargeable lithium battery, a method of manufacturing the same, and a rechargeable lithium battery including the same. The negative active material has a specific surface area of 2 m<2> / g or more and less than 5 m<2> / g and includes secondary particles composed of assembled primary particles of a compound represented by Chemical Formula 1: [Chemical Formula 1] Li4-x-yMyTi5+x-zM'zO12 wherein, x is 0 or 1, or 0 to 1, y is 0 or 1, or 0 to 1, z is 0 or 1, or 0 to 1, M is La, Tb, Gd, Ce, Pr, Nd, Sm, Ba, Sr, Ca, Mg, or a combination thereof, and M' is V, Cr, Nb, Fe, Ni, Co, Mn, W, AI, Ga, Cu, Mo, P, or a combination thereof.