We revisit the classic task of finding the shortest tour of n points in d-dimensional Euclidean space, for any fixed constant d≥2. We determine the optimal dependence on ε in the running time of an algorithm that computes a (1+ε)-approximate tour, under a plausible assumption. Specifically, we give an algorithm that runs in 2O(1/εd−1)nlogn time. This improves the previously smallest dependence on ε in the running time (1/ε)O(1/εd−1)nlogn of the algorithm by Rao and Smith (STOC 1998). We also show that a 2o(1/εd−1)poly(n) algorithm would violate the Gap-Exponential Time Hypothesis (Gap-ETH). Our new algorithm builds upon the celebrated quadtree-based methods initially proposed by Arora (J. ACM 1998), but it adds a simple new idea that we call \emph{sparsity-sensitive patching}. On a high level this lets the granularity with which we simplify the tour depend on how sparse it is locally. Our approach is (arguably) simpler than the one by Rao and Smith since it can work without geometric spanners. We demonstrate the technique extends easily to other problems, by showing as an example that it also yields a Gap-ETH-tight approximation scheme for Rectilinear Steiner Tree