Ironton, Ohio's Titanosauria are a 2025 slam and brutal death metal project with prehistoric appetites — dense, low-tuned, and devoted to the maximally heavy end of the spectrum where breakdowns hit like extinction-level events.

Madison, Wisconsin's Toiletectomy play slam-inflected brutal death metal with a grotesque premise and an equally grotesque sound, formed in 2023 and committed to the subgenre's signature low-tuned savagery and guttural absurdity.

A brand new Houston, Texas outfit formed in 2025, Torso Mastectomy dives straight into slam and brutal death metal's most visceral territory, adding to Texas' deep tradition of extreme heaviness.

Chicago's Torture takes an experimental approach to slam and brutal death metal, pushing the genre toward gorenoise territory with a boundary-defying ugliness that distinguishes them from more straightforward acts.

Philadelphia's Traumatic Insemination are specialists in slam and brutal death metal, formed in 2021 and committed to the sub-genre's most physically imposing qualities — crushing downtuned riffs, guttural vocals, and rhythms built to devastate.

Truckstop Dickpill is a slam and brutal death metal band from Knoxville, Tennessee, formed in 2024, specializing in the genre's characteristic down-tuned, syncopated slam breakdowns and guttural vocal extremity.

San Francisco's Urethral specialize in the slam death metal subgenre, building their sound around bone-crushing breakdowns and guttural extremity since 2013. Their Bay Area roots give them a certain grim urban edge that distinguishes them from their Midwest and Southeast counterparts.

Baltimore, Maryland slam and brutal death metal outfit formed in 2017, rooted in a city with a long tradition of supporting the heaviest corners of underground music. Vivisepulture channels that local intensity into slam death's bone-snapping breakdowns and maximalist brutality, a reliable and punishing presence on the East Coast extreme scene.

Out of Greenville, South Carolina, Volvulus have spent over a decade crafting some of the ugliest, most punishing slam death metal the Southeast has to offer. Since forming in 2010 they've refined a sound built on cavernous, bowel-shaking breakdowns and the kind of surgical brutality that defines the genre's most dedicated practitioners.