E4M7: And Hell Followed is the seventh map of Thy Flesh Consumed in The Ultimate Doom. It was designed by John W. "Dr. Sleep" Anderson and uses the music track "Sinister." Unlike the previous levels from Inferno and the rest of Thy Flesh Consumed, which are largely demonic locations, this level appears to be a UAC locale. Similar to The Shores of Hell levels, it is designed with techbase textures, with alterations or additions of hellish origin. John Anderson originally titled the level CHIRON.WAD.