Hilo, Hawaii death metal and metalcore project — possibly the most remote metal act in the United States. Six releases since 2014 including Angel In Plainclothes demonstrate that extreme music can emerge from tropical paradise just as readily as from industrial wastelands.

Tahlequah, Oklahoma death metal band from the capital of the Cherokee Nation, bringing extreme metal to a town steeped in Indigenous history and culture.

Chicago death metal project with fourteen releases since 2010. One of the Windy City's most prolific extreme acts, their catalog spans samplers, singles, and Lovecraftian-themed tracks like Black Goat of The Woods across a decade and a half.

Virginia Beach death metal band bringing unholy extremity to the Hampton Roads area, contributing to Tidewater Virginia's active heavy music community.

Minneapolis/Saint Paul melodic death metal band from the Twin Cities, channeling the Southern Hemisphere-referencing name through Minnesota's cold, Nordic-influenced metal scene.

Virginia death metal project whose 2014 compilation Bass for Autism channels extreme music toward awareness and charitable purpose.

Colorado Springs death metal band delivering provocatively named extremity from the base of Pikes Peak, adding to Colorado's growing underground metal presence.

Pittsburgh death metal duo with two albums since 2018. Esoterica and Chaosophy channel occult philosophy through technical extremity, building a reputation for cerebral brutality from the Steel City.

Warwick, Rhode Island death metal project with four releases since 2012. Promises of Continued and Endless Contempt and a split with Doom Town establish them as a fixture in New England's extreme underground.

Portland death metal project whose 2018 demo captures raw, self-consuming extremity. Named after the cellular process of eating oneself — the body recycling its own components — a fitting metaphor for death metal's obsession with dissolution.

Oakland death metal legends and architects of the death-doom subgenre. Their Bandcamp catalog includes Dead as..., representing one chapter of a career that fundamentally shaped extreme music worldwide. Chris Reifert and company created the template for merging death metal's fury with doom's crushing pace.

Portland death metal project named after the act of consuming one's own flesh. Three releases since 2019 including the full-length Dolor — Latin for 'pain' — channel the most disturbing corners of human psychology through grinding extremity.

Mansfield, Ohio death metal project. The oxymoronic name — autumn implies change, eternal implies permanence — captures the tension at the heart of their heavy music.

Newington, Connecticut death metal project whose 2025 EP Rise from Detritus promises rebirth from decay. New England extremity finding growth in destruction.

San Diego black/death metal act blending seasonal melancholy with extreme metal aggression, contributing to Southern California's diverse underground with atmospheric intensity.