While these few hard rock bands managed to maintain success and popularity in the early part of the decade, alternative forms of hard rock achieved mainstream success in the form of grunge in the US and Britpop in the UK. This was particularly evident after the success of Nirvana's Nevermind (1991), which combined elements of hardcore punk and heavy metal into a "dirty" sound that made use of heavy guitar distortion, fuzz and feedback, along with darker lyrical themes than their "hair band" predecessors. Although most grunge bands had a sound that sharply contrasted mainstream hard rock, several, including Pearl Jam, Alice in Chains, Mother Love Bone and Soundgarden, were more strongly influenced by 1970s and 1980s rock and metal, while Stone Temple Pilots managed to turn alternative rock into a form of stadium rock. However, all grunge bands shunned the macho, anthemic and fashion-focused aesthetics particularly associated with glam metal. In the UK, Oasis were unusual among the Britpop bands of the mid-1990s in incorporating a hard rock sound.

What was the title of Nirvana's 1991 album?