Gore-Grind music is characterized by its preoccupation with pitch-shifted or extremely low vocals, use of gore and forensic pathology as its exclusive subject matter, and often very fast tempos. Grind-Gore bands also have the refreshing tendency not to take themselves or their lyrics too seriously. This is evidenced by ... the often intricate and disgusting yet undeniably cartoonish splatter drawings that adorn many Gore-Grind album sleeves.
Zero Tolerance described goregrind as being defined by "detuned guitars, blasting drums (sometimes with a high-tuned, clanging 'biscuit tin' snare drum sound), sickening lyrics and often heavily processed/distorted vocals. Goregrind bands commonly use extremely low or pitch-shifted vocals. The lyrics' subject matter often features violent themes including gore, forensic pathology, death, and rape. Lyrics sometimes have a clear tongue-in-cheek Z-gradehorror-movie feel and are not expected to be taken seriously. Cyjan, drummer for Polish goregrind band Dead Infection, commented, "Musically, there's no real difference between grindcore and goregrind, but lyrically, whereas the first is socially and politically concerned, goregrind, as the name implies, deals with everything related to blood, pathological aspects or accidents with fatal results."