With polyrhythmic guitar stylings, raw vocals, progressive song structures, and a unique sound, Botch were prominent in the underground metalcore scene from 1993 until 2002. In May 1998, the four-piece from Tacoma, Washington released their first album, American Nervoso. On November 30, 1999, Hydra Head released Botch's We Are the Romans. Since its initial release, bands have been influenced by its style, creating, to many, what is now called mathcore.

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