Succorbenoth is an atmospheric black/death metal band from Cincinnati, Ohio, formed in 2012, weaving cavernous death metal heaviness together with sweeping, dissonant black metal atmosphere across their Bandcamp catalog.

Suffer is a Dayton, Ohio deathcore band formed in 1993, combining death metal brutality with the breakdowns and aggression of deathcore in the fertile Ohio heavy music underground.

Toledo, Ohio progressive death metal band formed in 2024, pursuing technically ambitious compositions that push the boundaries of conventional death metal.

Suspectum is a Cincinnati, Ohio death and groove metal outfit formed in 2024, merging the brutality of death metal with the syncopated heaviness of groove to forge a punishing and rhythmically direct sound.

Swallowed by Apathy is a progressive/melodic death metal band from Newark, Ohio, formed in 2011, merging technically ambitious arrangements with melodic hooks drawn from the Scandinavian death metal tradition.

Brutal death metal band from Columbus, Ohio, formed in 2025, applying the goregrind-adjacent brutal death aesthetic — surgical terminology in name, relentless sonic violence in practice.

Canton, Ohio's The Behest of Serpents deal in melodic death metal with a coiling, venom-laced attack that suits their name — sharp melodic leads threaded through a backbone of heavy, purposeful riffing. Formed in 2021, they're part of a new wave of Midwestern acts proving that the region's industrial heritage continues to produce some of the country's most serious death metal.

Cincinnati's The Vile Doctrine blend deathcore's breakdown-heavy architecture with the putrid mid-tempo grind of old-school death metal, crafting a sound that sits at the uglier, more aggressive end of the Ohio underground since their 2020 formation.

Cincinnati's Thorns of the Carrion have been building their atmospheric gothic doom/death sound since 2000, blending the mournful grandeur of gothic metal with death metal weight and doom's measured pace. The long-running Ohio act occupies a space where beauty and decay intertwine across decades of output.