Septic Congestion deal in slam and brutal death metal from Lyngby near Copenhagen, delivering guttural extremity from the Danish capital's northern suburbs. Active since 2016, they bring medical-horror brutality to the Scandinavian slam scene.

Viennese death/thrash metal band formed in 2019, channeling the aggression and speed of both genres into a punishing sonic assault. Their music carries forward the legacy of late-'80s crossover extremity with a contemporary edge forged in Austria's active underground metal community.

Septicflesh is a Greek symphonic death metal band formed in Athens in 1990 by brothers Spyridon 'Seth Siro Anton' Antoniou and Christos Antoniou alongside guitarist Sotiris Vagenas, initially releasing dark and gothic-inflected death metal records through the 1990s. Following a hiatus, the band reformed in 2007 with a dramatically expanded sound incorporating the Prague Philharmonic Orchestra and a full choir, debuting this approach on Communion (2008) through Season of Mist. Subsequent albums including The Great Mass (2011), Titan (2014), Codex Omega (2017), and Modern Primitive (2022) cemented their status as one of extreme metal's most technically and orchestrally ambitious acts, and in 2024 they became the first metal band to perform at the historic Odeon of Herodes Atticus in Athens.

Ivanovo's Septicopyemia pair death metal and grindcore from the central Russian textile city since 2011. Their medical-horror name channels systemic infection into compositions of relentless extremity.

Saint Petersburg's Septory deliver death metal from the cultural capital since 2008. Named for the wheat-destroying fungal disease, nearly two decades of activity have produced compositions of agricultural-themed brutality.

Turin's Septycal Gorge have been delivering brutal death metal since 2014. Their technically accomplished approach to extremity has made them one of the Piedmontese capital's most punishing musical exports.

Sepulchral Aura have been channeling death and black metal from the northern Finnish city of Oulu since 2007, making them veterans of the Ostrobothnia extreme scene. Their nearly two decades of sepulchral emanations represent sustained commitment to extreme metal from the far north.

Sepulchral Curse forge blackened death metal from Turku, combining the darkest elements of both genres into a single, devastating assault. Active since 2014, they've built a strong reputation in the Finnish underground for their uncompromising extremity.

Stockholm's Sepulchral Frost pair death and doom metal from the Swedish capital since 2019. Their frozen-tomb name channels the ice forming on burial chambers into compositions of frigid, crushing duality.