The description describes the integration of a gas fermentation process with a gasification process whereby effluent from the gas fermentation process is recycled to the gasification process. The one or more effluents which can be recycled include a stream comprising microbial biomass, a product stream comprising at least a portion of the at least one fermentation product, a by-product stream comprising fusel oil, and a waste water stream comprising microbial biomass. The stream comprising biomass can be dried before it is passed to the gasification zone. At least a portion of the waste water stream can be passed to the gasification process where one use is to replace at least a portion of the process water. The waste water stream can be further processed to produce a clarified water stream and a biogas stream comprising methane either or both of which can be passed to the gasification process.