Brooklyn's Mutant Supremacy have been one of New York City's most consistent death metal exports since 2010, playing a dense, old-school style that leans on early Florida and New York influences without resorting to pastiche. Their relentless gigging in the local underground has earned them a reputation as a formidable live act.

Oakland, California's Mutate have been part of the Bay Area death metal underground since 2008, delivering the kind of dense, grinding heaviness that fits naturally in a region with one of the US's richest extreme metal histories. Their sound leans into the filth and intensity that Oakland's heavy scene is known for.

Denver, Colorado's Mutated formed in 2020 and quickly locked into a straightforward death metal attack that draws from the genre's classic playbook without unnecessary ornamentation. The high-altitude city's increasingly active extreme metal underground has provided fertile ground for the band's no-nonsense approach.

Los Angeles's Mutated bring raw, stripped-down death metal to a city more often associated with glam and pop, staking out territory in LA's sprawling underground extreme scene since 2020. Their commitment to unpolished brutality sets them apart from the metropolis's more production-heavy tendencies.

Cleveland, Ohio's Mutated Sex Organ came together in 2022 to play goregrind-inflected death metal and grindcore with the irreverence and gore-obsessed imagery that define the genre's most uncompromising wing. They fit naturally into Cleveland's long history of extreme and underground metal weirdness.

Santa Ana, California's Mutilacion have been delivering Spanish-named death metal brutality since 2012, their work reflecting the large and historically deep Latino metal community in the greater Los Angeles basin. They play the genre straight — no frills, relentless, and rooted in Orange County's underground.

San Jose, California's Mutilador have been active since 2012, operating out of the South Bay with a death metal sound that pulls from the genre's most uncompromising traditions. Their label arm, Mutilador Records, suggests a deep involvement in organizing and releasing music across the Bay Area's extreme metal community.

Dubuque, Iowa's Mutilated by Zombies arrived in 2018 playing horror-themed death metal from one of the more unlikely corners of the American underground, channeling zombie-fixated B-movie imagery into brutal, grinding riffs. Their name and aesthetic keep them firmly in the tradition of gore-obsessed old-school death metal.

Connersville, Indiana's Mutilated Remains are a recent entry in the death metal underground, forming in 2024 with a sound rooted in the old-school genre template. Though newly arrived, their presence adds to Indiana's quietly growing extreme metal community outside the Indianapolis hub.