Portland, Oregon's Shrine of the Serpent have been crafting funeral-paced doom/death metal since 2015, their suffocating sound built on glacial tempos, cavernous production, and an atmosphere of irreversible dread that defines the Pacific Northwest's heaviest underground currents.

Atmospheric doom/death metal band from Sandown, New Hampshire, active since 2004 and rooted in slow, grief-laden compositions that fuse the melodic melancholy of doom with death metal's darker harmonic palette. One of the longer-running acts in the regional underground.

Portland, Oregon death metal band formed in 2012, known for dense, suffocating compositions with a cavernous production style and a penchant for slow, deliberate heaviness as much as outright brutality. They occupy the dissonant, occult-leaning corner of the Pacific Northwest death metal underground.

Indianapolis doom/death/black metal band formed in 2017, blending the sepulchral weight of funeral doom with blackened dissonance and death metal's low-end aggression. Their multi-genre fusion reflects an Indianapolis underground scene willing to blur stylistic boundaries.

Washington State progressive black/death metal act formed in 2017, weaving complex song structures and shifting dynamics through a foundation of blackened aggression and death metal intensity. The progressive element gives their compositions an unpredictable, sprawling character.

Greenville, South Carolina blackened death metal act formed in 2021, merging the blasting intensity of death metal with the cold tremolo sensibility of black metal. A young act from the South Carolina underground pursuing an aggressive, fused extreme metal sound.

Baltimore melodic death metal band formed in 2023, blending hook-driven melody and harmonic guitar interplay with death metal's aggression — a recent entry into a city with a deep extreme metal history and a melodeath tradition indebted to both Scandinavian and East Coast influences.

Crewe, Virginia thrash/death metal band formed in 2018, working in the aggressive crossover territory where old-school thrash velocity meets death metal's heavier harmonic darkness. A rural Virginia act bringing sharp-edged extremity to a state with a scattered but resilient underground.

Pike County, Pennsylvania death/groove metal and hardcore hybrid active since 2007, named after the aggressive African driver ant — a fitting moniker for a band that merges the relentless churn of death metal with groove-heavy riffing and hardcore's blunt force.