Gainesville's Wharflurch formed in 2019, emerging from the North Florida college town that has always punched above its weight in underground music with a death-doom sound that feels genuinely swamp-adjacent — slow, putrefying, and emanating something deeply unpleasant. Gainesville's humidity and proximity to old Florida wilderness seeps into everything, and Wharflurch sounds like it grew up from the ground rather than being constructed. Death-doom for the subtropics.

Nashville isn't often associated with death-doom, but Wicked Sorcerer — formed there in 2023 — arrive dragging heavy metal, death metal, and doom together into something genuinely sinister. The city's outsider quality suits this kind of music well, and the band's willingness to pull from multiple extreme subgenres gives their sound a lurching, unpredictable weight.

Emerging from Florida in 2020, Worm began as a raw black/death/doom entity before evolving into something considerably more elaborate — later recordings layer symphonic arrangements over the suffocating weight of doom and the corrosive grain of black and death metal. The band's trajectory from crude burial-ground aesthetics toward orchestrated darkness is one of the more striking transformations in recent underground extreme metal.

York, Pennsylvania's Worm March has been building a catalogue of death/doom metal since 2019, channeling the mid-Atlantic's capacity for grey, grinding heaviness. Their approach leans into the suffocating intersection of slow death metal riffing and true doom pacing, creating a dense and oppressive atmosphere.