Columbus, Ohio's Cultists work within the death/doom tradition, building heavy, suffocating compositions that balance the slow crawl of classic doom with the brutality of death metal. The Ohio band operates independently, adding to a Columbus extreme metal scene that has produced some of the most punishing underground acts in the Midwest.

Cincinnati's Debauch has been mining the sepulchral depths of death/doom since 2011, where impossibly slow tempos and cavernous production create a sense of ritualistic despair. Ohio weight pressed into wax.

Newly formed in Cincinnati in 2024, Haruspex Chants mine death-doom's most ritualistic qualities — the genre's glacial pacing and suffocating atmosphere rendered with a deliberateness that befits a band whose name evokes ancient omen-reading. An auspicious debut presence.

Procession are a death/doom band from Cleveland, Ohio whose sound draws equally from the suffocating weight of doom and the rotting fury of death metal — a fitting combination for a city with one of America's most storied underground metal legacies. Active since 2010, they move at a funeral pace without sacrificing the visceral menace that separates genuine death/doom from mere slow metal.

From the small town of Byesville, Ohio, Reclusa have built one of the more genuinely hybrid sounds in the American underground since 2017 — death/doom heaviness threaded through with black metal cold, industrial noise, and dark ambient texture. The isolation of their rural Ohio setting comes through in music that feels removed from any scene, answering only to its own grim logic.