Sacramento, California outfit formed in 2023 that takes a notably wide approach, weaving together death metal brutality, doom metal weight, and thrash momentum into a style that rewards listeners willing to follow them through the shifts in tempo and atmosphere.

Idaho Falls, Idaho's Throes of Ire have been crafting death/doom metal since 2013, drawing on the isolation of the high desert to inform a sound that moves between glacial, crushing slowness and moments of genuine menace.

San Diego's Tideless weave death-doom density with shoegaze texture, producing a sound that's simultaneously crushing and immersive — churning riffs suspended in reverberant haze. The band has been refining this submerged aesthetic since forming in 2016.

Baltimore's Tombtoker are one of the more eclectic acts in the city's thriving underground, folding stoner metal's hazy weight into a death-doom foundation since 2018 to produce something heavy enough to flatten walls and smoky enough to cloud vision.

Salem, Oregon's Total Darkness sink into the murk of death/doom metal, dragging riffs through oppressive tempos and graveyard atmospheres that suit the Pacific Northwest's brooding climate.

Triglathena is a death/doom metal band from Elizabeth, Colorado, formed in 2020, combining the mournful atmosphere of doom with the crushing heaviness of death metal in the tradition of the genre's most sepulchral acts.

San Diego, California death/doom metal band formed in 2023, merging the sepulchral atmosphere and mournful pacing of doom with the brutality of death metal in the style of the genre's earliest practitioners.

Turais is a Chicago, Illinois melodic death-doom band formed in 2023, named after the star in the constellation Carina and weaving together mournful melodies with the crushing weight of death metal.

Tzompantli is a death/doom metal band from Pomona, California, formed in 2012, drawing on Mesoamerican imagery and history to create crushingly heavy music that stands apart from the genre's more conventional touchstones.

Denver death-doom and sludge metal act formed in 2022, drawing on the Mile High underground's appetite for punishment. Vitrify layers death metal's crushing weight with doom's suffocating tempos and sludge's corrosive texture, their name evoking a transformation into something rigid and opaque — hardened under extreme pressure.

Minneapolis's Void Rot have developed a strong reputation in the death/doom underground since forming in 2018, specializing in slow, cavernous compositions where death metal's grotesque density meets doom metal's inexorable pacing. The Twin Cities metal scene is deeper and more serious than outsiders often realize, and Void Rot are among its more accomplished exports — praised by underground death metal listeners for the suffocating atmosphere and deliberate craft of their recordings. They exemplify what death/doom can do when executed with patience and conviction.

Chicago's Voimaton — the Finnish word for "powerless" or "exhausted" — have been dragging the death/doom template through Midwestern gloom since 2019, their name telegraphing exactly the emotional terrain they work. The death metal elements provide structural heaviness while the doom underpinning slows everything to a dirge-like crawl, creating music that feels genuinely burdened. In a city with a strong experimental metal history, they occupy the darker end of its underground with conviction.

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.