Minneapolis's Pestifere draws from the Twin Cities' rich extreme metal tradition, blending Scandinavian melodic death metal architecture with blasting black metal ferocity.

Emerging from Ocala, Florida in 2021, Pestiferous carries the torch of Florida's storied death metal lineage with a relentless and putrid ferocity that honors the state's legendary brutality.

Milwaukee's Phantasm conjures death metal from the frozen Midwest, channeling the bleak severity of Wisconsin winters into riffs that lurch and devour.

Los Angeles's Phantom Horde brings a sweeping melodic death metal vision to the sprawling city — hook-laden riffs and dual-guitar harmonies with a cinematic scope befitting the city of angels.

Boston's Phlegmesis arrived on the death metal scene in 2022 with guttural intent, delivering rotten old-school death metal from a city with a proud tradition of producing extreme extremity.

Boise's Pink Soapy Vomit launched in 2025 with a name designed to disturb and a sound to match — a corrosive blend of death and sludge metal that sounds exactly as pleasant as it should.

Blackened death metal horde featuring former members of Thornspawn, Hod, and Burial Shroud. Filthy, bestial sound in the vein of Blasphemy and Necrovore.

Spokane's Pit Monster has been bludgeoning the Pacific Northwest since 2019 with brutal death metal of the most straightforward and devastating variety — no atmosphere, just obliteration.

Pittsburgh's Plague Witch arrived in 2020 with a melodic black/death metal sound that balances scorching ferocity with sharp, memorable songcraft — dark and relentless without sacrificing hooks.

Texas death metal project Plague Zombie emerged in 2025 with rotting riffs and an old-school approach to undead brutality, joining the Lone Star State's long tradition of foul, uncompromising extremity.

Gnostic-themed duo of Ryan Wilson (The Howling Void, Intestinal Disgorge) and drummer Shane Elwell. Released on Nuclear War Now! and Everlasting Spew Records.

Flagstaff, Arizona's Poisoned Womb arrived in 2025 with the full weight of brutal death metal behind them — guttural vocals, pulverizing low-end, and the kind of technical savagery that high-altitude isolation seems to breed. Fresh but uncompromising, they represent the latest entry in Arizona's quietly growing extreme metal underground.

Jacksonville, Florida's Political Suicide has been blending death metal brutality with grindcore's political fury since 2013, operating in the tradition of bands that believe extreme music should carry a message alongside the blast beats. Their death-grind attack is blunt but purposeful, built for impact both sonic and ideological.

New York's Polonium — named for the radioactive element — has been delivering death metal with heavy, toxic purpose since 2016, bringing a no-nonsense approach to the genre that favors density over flash. Their Bandcamp handle, poloniumnyc, plants them firmly in the city's underground, where brutal execution has always mattered more than scene politics.

Orlando's Pontifex conjures symphonic death-black metal with the ceremonial gravity their name demands — the marriage of orchestral sweep, death metal ferocity, and black metal atmosphere creates something that feels genuinely liturgical. Active since 2023, they're part of Florida's long tradition of extreme metal that aims for grandeur without sacrificing savagery.