Cellos grinding against each other like bones cracking under stress. Olivier Deriviere scored Of Orcs and Men with the Boston Cello Quartet, and the result is this raw, muscular sound that matches the game's perspective of playing as the monsters for once.
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"Fight Like An Orc" is exactly as brutal as the title suggests, all aggressive bowing and percussive string attacks. "Slave Like Dad" carries a heaviness that goes beyond combat, and "I Am The Resistance" builds into something almost anthemic.
No full orchestra, just four cellos and Deriviere finding every possible texture in them. The constraint is the whole identity. If you want a fantasy RPG score that sounds like it was written from the orc's side of the battlefield, this is the one.