Antiviral chemotherapy often relies on nucleoside analogues, which, once phophorylated by intracellular kinases, target viral polymerases and preclude DNA synthesis. In contrast, nucleoside analogues are much less explored as antibacterial drugs. TMPKmt, which is essential to DNA replication, was selected as a promising target for inhibitor design. This review will describe how stepwise modifications of the enzyme's substrate, guided by the feedback of the enzyme assays as well as crystallographic information, proved a valuable approach to produce potent TMPKmt inhibitors, some of which were also capable to inhibit bacterial growth. Perhaps more importantly, some of the reported thymidine analogues also represent valuable tools to better understand the structure and the mechanism of this intriguing enzyme.