Pinnacle of Bedlam is the 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, instead the album features returning drummer Dave Culross, making this his only 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. It is also the band's last album with longtime guitarist Guy Marchais.