The HGV left the M42 and landed across four lanes of the M6 Toll near Coleshill, Warwickshire, although it avoided hitting other vehicles.
The driver, who is in his 50s, crawled out of his badly-damaged cab and was treated at the scene by ambulance crews.
He was airlifted to the Queen Elizabeth Hospital, Birmingham, where he was treated for serious lower leg fractures, neck and back pain and cuts to his face.
Warwickshire Fire and Rescue Service said around 1,200 litres of diesel spilled across the carriageway, which was closed overnight for emergency repairs.
The M6 Toll is Britain's first privately-funded tolled motorway and runs from Cannock, Staffordshire, to Coleshill.
It bypasses a congested section of the M6 and carries around 40,000 vehicles a day
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