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.

Pennsylvania brutal death metal unit Cirrhosis grind through dense, low-tuned punishment with relentless double-bass precision and guttural vocal devastation. They keep the approach surgical and the results crushing.

A brutal death metal act from New Jersey, Clotting traffic in the genre's most punishing and low-end-heavy forms. Their work sits firmly in the Garden State's tradition of underground extremity.

A one-man gangsta slam project from Ohio, Clown Vomit channel the most cartoonishly brutal end of slam death metal with unapologetic absurdity. Their 2025 album Section 8 Slamz: Seezun 1 leans all the way into slamming low tunings and gutter-level aesthetics.

Seattle brutal death and slam metal band Cocksmack deliver punishing low-tuned brutality with the guttural, bowel-shaking intensity that slam devotees crave. They're a nasty entry in the Pacific Northwest's surprisingly strong brutal death underground.

Chicago, Illinois brutal death metal act Coffin Feeder deliver unrelenting heaviness from the city's underground with a focus on crushing rhythms and guttural extremity. They represent the brutal death faction of Chicago's sprawling metal scene.

Fort Wayne's Coffin Witch unleash brutal death metal with an emphasis on sheer physical force, piling on pulverizing riffs, guttural vocals, and blast beats into a dense wall of carnage.