A reversible thermally sensitive recording composition, which makes use of coloring and decoloring reaction between a leuco pigment and a developing and decoloring agent, uses a specified developing and decoloring agent, an inorganic loading material, amine compound and the like to form a thermally sensitive layer, and has an excellent repeated use characteristic, a favorable printing quality and a high coloring concentration; and a thermally sensitive recording sheet and a card using the thermally sensitive recording composition. The thermally sensitive recording sheet comprises at least a support substrate (1), a reversible thermally sensitive recording layer (2) and a protective layer (3). The thermally sensitive recording layer is constituted by a thermally sensitive recording composition, which contains a reversible coloring pigment, a coloring and decoloring agent, an inorganic loading material and an amine compound in an organic polymer-based binder, and in which the coloring and decoloring agent comprises an amide compound obtained by dewatering condensation of aliphatic carboxylic acid having a phenolic hydroxyl group, an aliphatic alkylamine. Thus it is possible to realize a thermally sensitive recording composition having a high coloring concentration, image stability with time, favorable printing quality, a cycle durability and rewritability, a thermaly sensitive recording sheet or a card using the thermally sensitive recording composition.