Milwaukee's Towering Abomination have been grinding out technical and brutal death metal since 2015, combining the genre's intricate riffing and machine-like precision with the kind of raw, punishing physicality that defines the Wisconsin underground's extreme end.

A death metal act from Chula Vista, California, formed in 2020, Towers of Flesh and Blood channel a direct and unembellished approach to the genre, delivering the kind of visceral, blunt-force heaviness that anchors San Diego's death metal underground.

Portland, Maine's Toxic Cross, formed in 2018, blend the melodic sensibilities of Scandinavian death metal with thrash's riff-forward attack, producing a sound that bridges European melodic death and the rawer American thrash tradition.

A death and thrash metal band from Columbus, Florida, formed in 2019, Toxic Megacolon embrace both the clinical precision of death metal and the aggressive groove of thrash, delivering their extreme metal with a blunt, unpolished edge and a name that dares you to take them seriously.

Spokane's Toxic Vengeance, formed in 2022, fuse thrash metal's riff-first ferocity with death metal's heavier tonal palette, arriving at an Eastern Washington sound that draws from both genres without settling fully into either.

Springfield, Missouri's Tragedy blend death and thrash metal into a visceral and aggressive combination since 2018, pushing the boundaries of both styles with punishing rhythms and caustic riffing.

Hobbs, New Mexico's Trail of the Blood Stained God have been deploying blackened death metal from the high desert since 2011, fusing the frost-bitten savagery of black metal with the blunt-force trauma of death metal.

Tacoma, Washington's Transcribing the Necronomicon are a death metal outfit whose name signals their obsession with occult horror — grinding, unrelenting, and drawing on Pacific Northwest underground extremity since 2017.

A New Jersey heavy metal act formed in 2018, Transgression keep it straightforward and hard-hitting, channeling classic metal energy through a modern lens without straying far from the genre's foundational aggression.