Twisted Sprout has an appearance similar to his regular counterpart, but noticeably taller and almost completely consumed by Ichor. His left arm is much larger than the other, and drips ichor. His leaves are noticeably longer, covering one of his eyes, and his scarf is longer, ichor stained, and pointy. When Sprout spots a Toon, he will summon a puddle of Ichor at that Toon's position containing a tendril that, shortly after being summoned, will attack anyone who comes too close to it.