Pinnacle of Bedlam is a seventh studio album by American death metal band Suffocation. It is the band's first full length record since Pierced from Within to not feature Mike Smith (although he makes a guest appearance on the final track), instead the albums features returning drummer Dave Culross, making this his first full length record with Suffocation and his first release overall with the band since 1998's Despise the Sun. Track 10, 'Beginning of Sorrow', is a re-recording of the track of the same name from the album Breeding the Spawn.