Never the latter, but often the former. Though perhaps "ruin" is too strong. If the movie is good for other reasons, an annoying score probably won't make it any less good, but it can definitely get in the way.
For me, the best scores are the ones that don't call attention to themselves, but that just support/enhance the mood and atmosphere of what's happening on screen. (Which, for the record, does not mean only scores that are sparse or meek. For instance, I think Elfman is quite good at putting together scores that are plenty bombastic but that don't feel out of place.) In that sense, even a great score isn't going to elevate much of anything if what it's supporting sucks.

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