Cleveland death metal legends-in-waiting 200 Stab Wounds have returned with Manual Manic Procedures, a superlative sophomore effort that follows 2021’s Slave to the Scalpel, their tour de force debut. The new album is a brutal slab of old school death metal with a contemporary edge. Not for the faint-hearted, Manual Manic Procedures may well be the album that puts classic gore-themed ferocity back into the metal community’s collective consciousness.