San Jose, California death metal project. The unsettling name suggests something inhuman wearing flesh as disguise — body horror from Silicon Valley.

A la Carte is a death metal band from Lima, Ohio, serving up gore-themed brutality with a culinary twist since 2020. Track titles like "Soup Dejour," "Aborted Eggs Benedict," and "Hymen Drizzled Hotcakes" combine food service vocabulary with graphic anatomical horror. Across two releases and 15 tracks, the band has carved out a uniquely nauseating niche in Ohio's death metal scene.

A Life Less Alive is a death metal project that originated in Irvine, California before relocating to Avon Lake, Ohio. The cross-country trajectory reflects the transient nature of underground metal projects, carrying West Coast technicality to the Midwest. Limited releases suggest a project still finding its footing between coasts.

Nashville, Tennessee death metal project delivering funeral rites fueled by contempt. Music City extremity far from the country music strip.

A Man Named Onigumo is an extraordinarily prolific death metal and progressive metal project from Springfield, Missouri, amassing nine releases and 63 tracks since 2019. Named after the bandit from the anime Inuyasha, the project blends technical death metal with progressive structures and anime-inspired narrative ambition. Tracks like "Cerebellum Imprisoned" and "Endless Leukotomy" reveal a fascination with neurological horror and surgical precision.

Tampa/Tucson black metal and death metal project spanning Florida and Arizona. The name evokes solstice rituals in two of America's hottest cities — seeking cold in the desert and the tropics.

A Novelist is a progressive death metal act from Lafayette, Louisiana. The band's output includes two full-lengths — 2015's "Portraits" and an instrumental version of "Folie" released in 2019 — showcasing intricate arrangements and technical proficiency within a death metal framework.

A Plague in Faith is a technical death metal band from Kansas City, Missouri. Their 2015 full-length "Resonating Blasphemy" delivers nine tracks of punishing, technically demanding death metal rooted in the Midwest underground.

Laplata, Maryland death metal project whose name frames awareness itself as a disease. Philosophical extremity from Southern Maryland.