Brutal death metal band from Detroit, Michigan channeling the guttural intensity and clinical extremity that defines the subgenre into a project with roots in the Midwest underground. The band takes its name from a parasitic disease, fitting the biological horror aesthetic common to brutal death metal.

Lakeland, Florida's Cum Soaked Corpses Leaking Rectal Discharge are a two-piece goregrind duo who weaponize slamming rhythms, guttural extremity, and intentional provocation into brief, relentless bursts of brutal death metal noise. Self-described as stoned, drunk scumbags, they've released a steady stream of material including the 2023 full-length Indica Cocaine.

Los Angeles's Cuntamination operate in the most punishing end of brutal death metal, favoring maximum heaviness and genre-specific extremity over nuance or experimentation. The Southern California act is part of a region that has quietly sustained a fertile underground brutal death scene operating well below the mainstream radar.

Minnesota brutal death and slam metal band weaponizing extremity with maximum sonic grotesquerie and gut-punch riffing. Cute Puppy Decapitation piles brutal death metal's most visceral elements onto a foundation of slamming, bowel-rattling heaviness.

Okauchee, Wisconsin brutal death metal band delivering pulverizing low-tuned riffs and relentless percussion in the tradition of American brutality. Cyanosis pairs surgical heaviness with sickened, suffocating atmosphere.

Boise, Idaho brutal death metal band delivering pulverizing, technically executed brutality from the Mountain West underground. Cynosure combines crushing riff structures with merciless percussion in the classic American brutal death metal tradition.

Asheville, North Carolina brutal death and grindcore band piling grotesque extremity onto a foundation of pummeling low-tuned riffs and blast-beat ferocity. Cystic Nourishment weaponizes Appalachian underground intensity through the most unrelenting corners of extreme metal.

Palm Desert, California brutal death and slam metal project known for grotesque sonic extremity and experimental tendencies. Cytoplasm pushes the outer limits of brutal death metal with unconventional, visceral compositions from the California desert.