Dayton, Ohio's Scrotal Erosion arrived in 2024 trafficking in goregrind and death metal with the kind of grotesque specificity that the gore-adjacent subgenre demands — absurdist extremity, medical-horror song concepts, and a sound that prioritizes repulsiveness as an aesthetic virtue. Dayton has a quietly rich tradition of underground metal and hardcore, and Scrotal Erosion continues that tradition in its most extreme, least marketable form. New to the scene but clearly committed to the bit.

Ohio-based Sepulcher formed in 2024 operating at the violent intersection of death metal and grindcore. Their music combines the technicality and brutality of death metal song structures with the explosive, short-burst intensity of grindcore, resulting in something chaotic and unrelenting. As a brand-new act they have already staked out an extreme and punishing corner of the Midwestern underground.

Skag is a Dayton, Ohio brutal death metal and grindcore band formed in 2022, delivering punishing low-end heaviness punctuated by grind-tempo blasting and guttural vocal extremity. They represent the working-class Midwest underground tradition of no-frills, no-mercy extreme metal.

New Philadelphia, Ohio act formed in 2023 that combines death metal, grindcore, and crossover thrash into a fast and abrasive style typical of the genre's more chaotic fringe.