Nashville brutal death and slam outfit Christorment brings bone-crushing low-tuned riffs and guttural vocals to a city better known for country, making them a genuine outlier in the Tennessee underground. Their slam-inflected style is uncompromising in its physical heaviness.

A one-man gangsta slam project from Ohio, Clown Vomit channel the most cartoonishly brutal end of slam death metal with unapologetic absurdity. Their 2025 album Section 8 Slamz: Seezun 1 leans all the way into slamming low tunings and gutter-level aesthetics.

Seattle brutal death and slam metal band Cocksmack deliver punishing low-tuned brutality with the guttural, bowel-shaking intensity that slam devotees crave. They're a nasty entry in the Pacific Northwest's surprisingly strong brutal death underground.

Virginia Beach's Coldcocked specializes in the punishing low-end crush of slam death metal, pairing guttural vocal extremity with breakdowns designed to level venues and test the structural integrity of stage floors.

Denver's Consanguinity are a slam and brutal death metal force, pummeling listeners with low-tuned guttural violence and the kind of caveman-heavy breakdowns that define the American slam underground.

Constriction are a brutal death and slam metal act working at extreme heaviness, deploying drop-tuned gutturals and bone-crushing breakdowns in service of some of the most punishing sounds the subgenre can offer.

Springfield, Missouri's Copulatory Wounding operate in the slam death metal zone, delivering the genre's signature rhythmic brutality and guttural vocal performances with full commitment to the form. Their sound is suffocatingly heavy, built for the underground pit rather than the mainstream.

Elliottsburg, Pennsylvania outfit specializing in the most physically oppressive end of brutal and slam death metal, where breakdowns feel less like transitions and more like cave-ins. Their music is designed to destroy whatever room it's played in.

Covidectomy are a US brutal death/slam deathcore project whose name announces exactly how seriously they take genre conventions. Their music wallows in the most extreme end of slam and brutal death metal, built entirely for fans of maximum grotesque density.