Conceived in Sewage is the fourth studio album by American death metal band Devourment.

The slam riffs are notably kept to a minimum while a sound more reminiscent of traditional death metal is performed on the album.

described the album as "33 minutes of slamming, brutal death metal mixed with grind elements", and called it "fast and punishing throughout".

Brown also liked "Majewski's...rhythmic gutturals", but noted that "Devourment are not pushing into any uncharted death metal terrains with Conceived in Sewage".

He also noted, "While spirited in their performance, this brutal quartet lack the dynamism and versatility of label-mates Dying Fetus, resulting in a relatively entertaining record for death metal fans but not much more.