Charlotte, North Carolina brutal death metal and slam act Chainsaw Disgorgement focus on pulverizing low-end heaviness, guttural vocals, and the rhythmic chug-and-breakdown dynamics central to slam death metal. Their music is built for maximum physical impact.

Tupelo, Mississippi brutal death metal and grindcore band Chainsaw Torture blend goregrind aesthetics with brutal death metal density in the tradition of Mississippi's extreme metal underground. Their sound is raw, fast, and gore-themed.

Chaotic End is a brutal death metal band from Gunnison, Colorado, founded in 2004 by the Parker brothers, that eventually evolved into the project Prophecy of Suffering. Their 2016 EP, later re-recorded under the new name, showcases dense, technical brutality rooted in the US brutal death metal tradition.

Chaotic End is a blackened brutal death metal band from San Antonio, Texas, formed in 2009, that blends the harshness of black metal with the density of brutal death metal. The band stands out in the San Antonio scene as one of the few acts pushing the blackened death metal sound.

Atascadero, California's Chewed to Stubs traffics in brutal death metal executed with grinding intensity and no decorative excess. The Central Coast band channels pure sonic punishment into concise, devastating tracks.

Kent, Ohio's Chingada Carne delivers uncompromising brutal death metal with the kind of punishing low-end and guttural attack the genre demands. They operate squarely in the underground extreme metal tradition with no concession to accessibility.

Chattanooga, Tennessee's Chokeslam delivers groove metal with the blunt force of a wrestling move the name invokes, channeling Southern aggression into heavy, mid-paced riffing with physical impact. Their music is built from the ground up for the live setting.

Indiana brutal death and slam act Chop Shop lean into the most grotesque corners of the genre, combining pummeling slam breakdowns with hardcore-inflected brutality. Unsubtle and intentionally so.

Houston brutal death metal act Christ Malformation deliver relentless extremity from deep in the Texas underground, combining technical brutality with blasphemous intent. Heavy and unsparing.

Denver brutal death metal outfit Christectomy delivers pulverizing low-end riffs and blast-heavy compositions rooted firmly in the gore-drenched traditions of the genre. Their sound favors maximum density and surgical brutality over melodic concession.

Nashville brutal death and slam outfit Christorment brings bone-crushing low-tuned riffs and guttural vocals to a city better known for country, making them a genuine outlier in the Tennessee underground. Their slam-inflected style is uncompromising in its physical heaviness.

Johnstown, Pennsylvania's Chronic Decay operates in the brutal death and deathcore space, delivering thick, down-tuned breakdowns alongside extreme metal riffing rooted in the genre's Pennsylvania underground traditions. Their approach favors brute force over subtlety.

Seattle brutal death metal band Chronicynic channels the Pacific Northwest underground into dense, pulverizing compositions built on guttural vocals and downtuned riff attacks. Their sound sits squarely in the relentless end of the brutal death metal spectrum.

St. Louis death/thrash outfit Cicatrix blend the punishing velocity of thrash with the heaviness of death metal, delivering razor-sharp riffs and aggressive rhythmic attack. Their sound sits in the classic crossover tradition between the two genres.

Pennsylvania brutal death/grind veterans Circle of Dead Children have been one of the most extreme and uncompromising acts in American underground metal since the mid-1990s. Their hyper-blasting, caustic assault blurs the line between brutal death metal and grindcore with relentless ferocity.