Out of Birmingham, Alabama — a city with its own long history of heavy music — Drood have been crafting death/doom metal since 2017 that leans into the slower, more mournful qualities of the form. Their sound carries the oppressive atmosphere that Birmingham's industrial heritage seems to lend to music, with death metal's brutality filtered through doom's bottomless patience.

Louisiana's Dropkik hail from the small town of Luling and have been delivering blunt-force death metal since 2015. There's nothing decorative about their approach — it's direct, violent, and rooted in a blue-collar understanding of what death metal is supposed to accomplish.

Portland, Oregon's Drown emerged in 2019 with funeral doom metal that takes its name and its mandate seriously — music designed to feel like submersion, all glacially slow tempos, cavernous low-end, and a suffocating emotional weight that discourages any notion of a quick listen. In a city with a rich experimental metal culture, they occupy the most extreme edge of slowness.

Stuart, Florida's Drowned Out blend deathcore's breakdown-driven architecture with the more technical vocabulary of death metal, a pairing they've been refining since 2015. Their sound lands in the brutal middle ground between the two genres — heavy enough for the pit, precise enough to reward close listening.

Chicago's Drug Honkey has been warping death and doom metal into something genuinely hallucinogenic since 2005, blending cavernous death metal with funeral-paced doom and a deeply psychedelic, experimental sensibility. Two decades into their existence, they remain one of the stranger and more uncompromising acts in the American underground, their music evoking a chemical dread few bands can match.

Out of Fort Collins since 2021, Drug Mouse fuses black metal's atmosphere and abrasion with death metal's brutality through an experimental lens that resists any straightforward genre read. The project pushes into disorienting, unpredictable territory, reflecting an appetite for deconstruction that has become a hallmark of Colorado's younger extreme metal crop.

Cleveland's Druparia formed in 2020 at the intersection of melodic death metal's harmonic ambition and metalcore's structural intensity, with pure death metal brutality keeping either tendency from going soft. The band reflects a generation of Cleveland heavy acts comfortable pulling from multiple extreme subgenres simultaneously without losing coherence.

Nevada City, California's Dry Rot has been playing death metal since 2016, drawing from the style's most direct and unadorned traditions — riff-forward, brutal, and unconcerned with modernization. Operating out of a small Northern California mountain town gives them a certain outsider quality, removed from the scene politics and trends of larger urban metal centers.

Lewisville, Texas-based Duality formed in 2020 with a sound that pushes progressive and melodic death metal into ambitious, technically demanding territory. Layered song structures and melodic guitar work give their death metal a cinematic quality uncommon for a band so early in their existence. They represent the thoughtful, arrangement-conscious strand of the DFW metal underground.