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.

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Cleveland, Ohio doom metal act formed in 2014, invoking the Wiccan principle of threefold return in both name and approach — slow, deliberate, and heavy in the manner of traditional doom, rooted in a city that has produced some of the most compelling heavy music in the Midwest.

Toledo, Ohio doom metal act Tomorrow arrived in 2025, entering a storied Midwestern heavy music tradition with a sound that leans into slow tempos, heavy riffing, and the genre's characteristic sense of weight and inevitability.

Hamilton, Ohio funeral doom outfit Torture Wheel have been grinding out some of the genre's most punishing slow-motion heaviness since 2005, favoring glacial tempos and suffocating atmospheres that put them squarely in the tradition of the genre's bleakest practitioners.

Columbus, Ohio's Traitors Return to Earth have been sinking deep into stoner-sludge-doom's tar pit heaviness since 2011, layering fuzz and feedback over glacial tempos and a persistent sense of weighted despair.

Twin Scar is a black/doom metal band from Cincinnati, Ohio, formed in 2025, combining the icy malevolence of black metal with the glacial, despairing tempos of doom metal into a dark and suffocating sound.

Two Tons is a doom and sludge metal band from Cleveland, Ohio, formed in 2025, emerging from a city with deep roots in underground heavy music to deliver slow, crushing compositions that draw equally from funeral doom and sludge traditions.