Palm Springs, California's Shrine of Resurrection, formed in 2021, pursue progressive death metal filtered through metalcore's structural sensibility — ambitious compositions that balance technical complexity with the direct aggression of the modern heavy underground.

Springfield, Missouri's Shrine of Skulls arrived in 2024 delivering straightforward death metal with an old-school attitude — the band favors riff-driven brutality and a no-frills approach that recalls the genre's early-90s underground origins.

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.

San Francisco's Shrinebuilder are a supergroup formed in 2009 from members of Sleep, Neurosis, The Melvins, and Scott Kelly's solo projects, combining stoner and doom metal traditions into monolithic, lysergic compositions that draw from the full weight of their members' combined legacies.

Chicago doom and stoner metal outfit formed in 2023, channeling the heavy, haze-drenched weight of slow-grinding riffs and oppressive atmosphere. A young band from the Midwest already staking out territory in the ritualistic end of the doom spectrum.

Miami sludge/doom duo formed in 2009, known for massive down-tuned riffs layered with swamp-thick atmosphere and the raw, swaggering physicality native to the Florida underground. They carry a distinctive Southern weight filtered through the caustic traditions of sludge.

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.

Milwaukee black metal project active since 2000 with a prolific catalog that ranges across raw, atmospheric, and folk-inflected territory — a relentless one-man operation that has accumulated dozens of releases over its long run in the American underground.

Seattle heavy metal band formed in 2013, occupying the classic end of the genre with thick riffing and a traditional song structure that sits apart from the city's more experimental tendencies. Their name evokes a dark, gothic atmosphere within a fundamentally heavy metal framework.