Service Geriatrie burst onto the French brutal death metal scene in 2023 with a darkly humorous name belying genuinely punishing sonic output. Their blasting, guttural approach sits firmly within the gore-obsessed end of the death metal spectrum.

Severe Torture is a Dutch brutal death metal band formed in 1997 in the Netherlands, rooted in the uncompromising heaviness of Cannibal Corpse and Dying Fetus. The band broke through with their debut Feasting on Blood (2001) on Earache Records, hailed as a landmark entry in the emerging brutal death metal subgenre, and followed it with Fall of the Despised (2005), Sworn Vengeance (2007), and Slaughtered (2010) on Season of Mist. After a lengthy quiet period, the band returned in 2022 with the EP Fisting the Sockets.

Tula's Shadows of Contempt deliver brutal death metal from the central Russian arms city since 2017. Their name of darkened scorn and weapons-manufacturing origins channel industrial contempt into compositions of technical extremity.

Shampoon Killer deal in "South Town Brutality" from Prague, with albums like "666: The Battle of Discopylae" and "Mankind Depravity" showcasing their unrelenting approach to brutal death metal. Active since 2007, they've built a reputation in the Czech underground for visceral, punishing extremity.

Shattering Calamity deal in slam, brutal death metal, and goregrind from Madrid, combining the most extreme subgenres into a single, devastating assault. Active since 2016, they bring catastrophic brutality to the Spanish capital.

Shredding Infant Limbs deliver brutal death, standard death, and grindcore from Moscow/Saint Petersburg since 2023. Their graphic name channels maximum shock value into compositions of unrelenting technical extremity.

Belgorod's Sickcunt merge brutal death, standard death, and grindcore from the Black Earth region since 2020. Their maximally provocative name channels shock-value extremity into compositions of southern Russian aggression.

Florence's Sickening have been dealing in brutal death metal since 2008. Their Renaissance city origins create a stark contrast with their music's unrelenting extremity, delivered with technical precision.

Sickflesh deal in brutal death metal and goregrind from Nachod, combining inhuman gutturals with grinding blasts of noise. Their approach embraces the most extreme end of the death metal spectrum without compromise.