Sanguinarium deal in death metal from the Provencal town of Carpentras, channeling the blood-hall themes their name describes. Formed in 2021, they bring Vaucluse brutality to the French death metal scene.

Winschoten's Sanguinary deal in brutal death metal, standard death, and grindcore from the far northeast of the Netherlands since 2019. Their blood-themed name and border-region origins channel extremity from the Dutch-German frontier.

Uzlovaya's Sangvis pair death, melodic death, and metalcore from the Tula region since 2018. Their Latin blood-name and central Russian origins channel vital fluid into compositions of multi-genre intensity.

Sanity Burial deal in brutal death metal from the central Finnish town of Jamsa, channeling the burial of sanity through crushing compositions. Active since 2014, they bring certifiable brutality to the Finnish extreme underground.

Sansara deal in black/death metal from the Ruhr Valley area of Sprockhovel and Bochum, channeling extreme metal aggression since 2001. Their two-decade presence makes them veterans of the North Rhine-Westphalia underground.

Sapere Aude ("Dare to Know") forge black/death metal from Schorndorf in Baden-Wurttemberg, filtering Enlightenment philosophy through extreme metal's confrontational lens. Their intellectual name belies the visceral aggression of their sound.

Yuzhno-Sakhalinsk's Saphath blend death, gothic, and symphonic metal from the Pacific island capital since 2022. Their origins on Sakhalin Island make them one of the most geographically remote metal acts in Russia.

Saprobiontic deal in brutal death metal from Dresden, their biological name (referring to organisms that feed on decaying matter) perfectly suiting their genre's fascination with decomposition and putrefaction. Their Saxony-based output channels the most extreme end of the death metal spectrum.

Omsk's Sarcazm pair death and thrash metal from the Siberian city since 2019. Their deliberately misspelled cynicism and Western Siberian origins channel ironic aggression into compositions of dual-genre extremity.