Gothic metal is characterised as a combination of the dark melancholy of gothic rock with the aggression and sonic power of highly amplified heavy metal music. The genre originated during the mid 1990s in Europe as an outgrowth of doom-death, a fusion genre of doom metal and death metal. Examples of gothic metal bands include Paradise Lost, Lacuna Coil, Type O Negative, Moonspell, My Dying Bride, Elis, Sirenia, Stravaganzza, Theatre of Tragedy and Tristania.