Philadelphia's Mental Funeral carry one of the most storied names in the death/doom subgenre, and the band — newly active as of 2025 — approaches the weight of that legacy with appropriately glacial heaviness. Their death/doom metal fuses the crushing desolation of funeral doom's tempos with death metal's most sepulchral vocal textures and chord structures, building an atmosphere of profound, suffocating grief. Philadelphia has a long history of dark and extreme music, and Mental Funeral plant their flag in the genre's most lugubrious, mournful corner.

A New York-based death/doom outfit active since 2014, this incarnation of Monarch traces the slow, cavernous edge where death metal's brutality bleeds into doom's suffocating weight.

Mookerdam is a Los Angeles band dragging death metal into the swamp, combining crushing doom weight with sludge-coated riffs and an abyssal low-end that has been their signature since forming in 2010. The band occupies the uglier, slower end of the death-doom spectrum, where tempo is a weapon and density is the point.

Hailing from Olympia, Washington, Mortiferum deal in a suffocating blend of death and doom metal built on cavernous low-end, glacially slow passages, and sepulchral atmosphere — one of the Pacific Northwest's most oppressive acts since their 2017 formation.

Indianapolis death/doom act Mother of Graves have been one of the more compelling newer voices in melodic death-doom since forming in 2019 — their sound draws on the Finnish tradition of grief-soaked melody without merely imitating it.

Bucks County, Pennsylvania's Mountain Shadow are a newly formed (2024) project spanning an unusually wide stylistic range — atmospheric black metal, folk metal, death metal, doom, and death-doom — suggesting a band intent on using the full palette of extreme metal rather than settling into a single lane. The project's scope and ambition make it one of the more intriguing recent arrivals in the Pennsylvania underground.

A San Francisco death-doom project born in 2025, Mudslinger buries melody beneath layers of grinding low-end, pairing cavernous death metal brutality with the suffocating crawl of doom.

Grand Junction, Colorado's Murder Cafe push death/doom into stranger territory, layering crawling heaviness with experimental textures that refuse easy categorization. Formed in 2012, they occupy a niche corner of Colorado's underground where sonic discomfort is the whole point.

Washington State's Myopic defies easy categorization by drawing equally from sludge, black, death, and doom metal, blending these traditions into a dense, multi-layered extremity that has evolved steadily since the band's formation in 2011.

Pittsburgh death/doom outfit Mythic deal in the slow, suffocating end of the spectrum, dragging crushing riffs through a fog of morbid atmosphere. Formed in 2015, the band pairs the deliberate heaviness of doom with death metal's guttural aggression.