Nile's music is written mostly by founding member and vocalist / guitarist Karl Sanders. It combines traditional and technical death metal with elements of Middle Eastern music, incorporating traditional Egyptian instruments in some songs. Nile's music is also characterized by its extreme complexity and speed – for which the band has received acknowledgment from many music fans and journalists – and its extremely 'heavy' riffing, due to Nile's guitar and bass tunings.

The lyrical content is based on Karl Sanders' interest in Egyptology as well as other ancient Middle Eastern cultures such as Mesopotamia. Lengthy sleeve notes are included with the albums Black Seeds of Vengeance, In Their Darkened Shrines and Annihilation of the Wicked albums, explaining the inspiration or source for the lyrics of each song. Also, some of the songs are based on the works of H. P. Lovecraft, an early 20th century author, who has also inspired many other bands from various genres.

Karl Sanders has also released one solo album called Saurian Meditation.

In May 2006, Nile signed a new recording contract with Nuclear Blast Records. On February 26, 2007 Nile entered the studio and began recording their fifth full-length album called Ithyphallic, which will be their first release with Nuclear Blast Records. Karl Sanders had confirmed a release date of June 29th via a posting on the band's message board, which was later pushed back to July 20 2007. As a special bonus Nuclear Blast Records gave several fans the opportunity to listen to the new album two weeks before it came out if they could decipher a hieroglyphic message. The answer was papyrus.

On March 21 2007, Nile was confirmed as a "Second Stage" act for Ozzfest 2007. A message from Karl Sanders via Nile's MySpace page indicated that they were excited to finally bring true death metal to an Ozzfest audience. Critics of Ozzfest have cited Nile as "The most brutal band to go on a tour usually dominated by false alternative/hard rock bands and metalcore. Ozzy finally got smart this time."

In March/April 2008, Nile will set out on a North American headlining tour with Suicide Silence, The Faceless, Unexpect, and The Agonist.

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