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* ''VideoGame/MetroidPrime2Echoes'' features the Sandigger, a worm enemy whose heads can only be damaged when either is active. ''VideoGame/MetroidOtherM'', likewise, features the Dragotix, a dinosaur-like creature with a small, fire-breathing head at one end and a pair of massive jaws at the other end.

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* ''VideoGame/MetroidPrime2Echoes'' ''Franchise/{{Metroid}}'':
** ''VideoGame/MetroidPrime2Echoes'': The area of Agon Wastes
features the Sandigger, a worm enemy whose heads can only be damaged when either is active. ''VideoGame/MetroidOtherM'', likewise, features One of them, the Dragotix, Bomb Guardian, serves as a MiniBoss whose defeat yields the Morph Ball Bombs for Samus.
** ''VideoGame/MetroidOtherM'': The Dragotix is
a dinosaur-like creature with a small, fire-breathing head at one end and a pair of massive jaws at the other end.
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* One of the aberrant fish you sometimes haul up in ''Dredge'' is an eel with this physical anomaly.
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* In one episode of ''WesternAnimation/TheFairlyOddParents'', after having a magical fight involving taking apart {[Voodoo Doll}}s of each other, Cosmo and Wanda spend a good portion of the plot trying to [[PullingYourselfTogether put themselves back together]]. At one point, they end up conjoined in this fashion.

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* In one episode of ''WesternAnimation/TheFairlyOddParents'', after having a magical fight involving taking apart {[Voodoo {{Voodoo Doll}}s of each other, Cosmo and Wanda spend a good portion of the plot trying to [[PullingYourselfTogether [[PullingThemselvesTogether put themselves back together]]. At one point, they end up conjoined in this fashion.

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* In one episode of ''WesternAnimation/TheFairlyOddParents'', after having a magical fight involving taking apart {[Voodoo Doll}}s of each other, Cosmo and Wanda spend a good portion of the plot trying to [[PullingYourselfTogether put themselves back together]]. At one point, they end up conjoined in this fashion.
-->'''Cosmo:''' How do we go to the bathroom?
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* ''VideoGame/PaperMarioTheThousandYearDoor'': According to Luigi, during his adventure, he battled Hizza, a giant snake that Plumpbelly Village had to sacrifice maidens to. Luigi notes that the snake had a second head on its tail.
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* In ''WesternAnimation/{{Nine}}'', the Seamstress is a mechanical horror with a doll's head at one end and [[spoiler: the salvaged upper body of a soul-drained stitchpunk]] at the other.

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* In ''WesternAnimation/{{Nine}}'', the Seamstress is a mechanical horror with a doll's head at one end and [[spoiler: the [[spoiler:the salvaged upper body of a soul-drained stitchpunk]] at the other.



** In some [[https://en.wikipedia.org/wiki/Amphisbaenia worm lizards]], it's extremely difficult to distinguish the head from the tail without seeing an open mouth first. They can also move forward and backward.

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** In some [[https://en.wikipedia.org/wiki/Amphisbaenia worm lizards]], lizards,]] it's extremely difficult to distinguish the head from the tail without seeing an open mouth first. They can also move forward and backward.



* Human ConjoinedTwins born this way are called "ischiopagus" (coming from "ischium", meaning hip, and "pagus", meaning joined) and generally come in three flavors: with four legs (most common), three legs [[note]]Each twin having one leg and the both sharing one [[BodyHorror "fused" leg]], often with no motor control, misshapen bones, and ExtraDigits)[[/note]], or two legs (least common). Children born this way rarely live past childbirth, often due to said "logistical issues", such as one or both twins lacking a lower digestive system entirely. Those that do live past childbirth are usually separated early, as the two being conjoined often leads to one twin leaching nutrients from the other's lower digestive tract.

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* Human ConjoinedTwins born this way are called "ischiopagus" (coming from "ischium", meaning hip, and "pagus", meaning joined) and generally come in three flavors: with four legs (most common), three legs legs, [[note]]Each twin having one leg and the both sharing one [[BodyHorror "fused" leg]], often with no motor control, misshapen bones, and ExtraDigits)[[/note]], ExtraDigits[[/note]] or two legs (least common). Children born this way rarely live past childbirth, often due to said "logistical issues", such as one or both twins lacking a lower digestive system entirely. Those that do live past childbirth are usually separated early, as the two being conjoined often leads to one twin leaching nutrients from the other's lower digestive tract.
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See also TailMouth
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See also Tailmouth

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See also Tailmouth
TailMouth
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See also Tailmouth
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* Episode I of ''[[Fanfic/StarWarsParanormalitiesTrilogy Star Wars: Paranormalities]]'' featured a giant garbage-eating worm with a head on each end in Chapter 7. Unfortunately for Zolph, he learns that the creatures use its heads for both eating ''and'' waste disposal (the latter done out the opposite head), and the waste is highly acidic. This is justified on account of the worm being a mutant.
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** And as if The Evil Queen Pulsating, Bloated, Festering, Sweaty, Pus-filled, Malformed, Slug-for-a-Butt needed anything else to be alien and disturbing other than staying true to her name, it turns out during the penultimate boss challenge that the rear end to her aforementioned gigantic butt has a mind of its ''own'' and even the name J. Alfred Maggot, which is much shorter and just as accurate to the main head.

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** And as if The Evil Queen Pulsating, Bloated, Festering, Sweaty, Pus-filled, Malformed, Slug-for-a-Butt needed anything else to be alien and disturbing other than staying true to her name, it turns out during the penultimate boss challenge that the rear end to her aforementioned gigantic butt has a mind of its ''own'' and even the name J. Alfred Maggot, which is much shorter and just as accurate to as the main head.
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** The pukeme-poopyou, a two-headed goat that continually ejects vomit/diarrhea from either end, filling a pool that the loser of a contest will have to jump into.

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** The pukeme-poopyou, Mr. Chunks is a "pukeme-poopyou", a two-headed goat that continually ejects vomit/diarrhea from either end, filling a pool that the loser of a contest will have to jump into.
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* ''VideoGame/SpiritualAssassinTaromaru'' has a two-sided green flying parasitic worm-demon as a boss, who attacks you while you're on a building's roof. The monster will spit projectile attacks from both heads, sticking in from the right and left sides of the screen as you damage it by hitting the body.
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* ''Website/GoodbyeStrangers'': A few strangers have heads on both ends of their body such as the [[https://strangers.atrocityland.com/enter/site/module/elist/s_recurridaize.html recurridrizieri]] (which also contains at least two layers of smaller versions of itself) and the [[https://strangers.atrocityland.com/enter/site/module/red/s_miridraner.html miridraner]]. Oddly the miridraner's two head are not identical. Both heads have mouths but only one has lips. Several of the meoms also have heads on both ends.

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* ''Website/GoodbyeStrangers'': A few strangers have heads on both ends of their body such as the [[https://strangers.atrocityland.com/enter/site/module/elist/s_recurridaize.html recurridrizieri]] recurridaize]] (which also contains at least two layers of smaller versions of itself) and the [[https://strangers.atrocityland.com/enter/site/module/red/s_miridraner.html miridraner]]. Oddly the miridraner's two head are not identical. Both heads have mouths but only one has lips. Several of the meoms also have heads on both ends.
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** And as if The Evil Queen Pulsating, Bloated, Festering, Sweaty, Pus-filled, Malformed, Slug-for-a-Butt needed anything else to be alien and disturbing other than staying true to her name, it turns out during the penultimate boss challenge that the rear end to her aforementioned gigantic butt has a mind of its ''own'' and even the name J. Alfred Maggot, which is much shorter and just as accurate to the main head.
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None

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* ''Website/GoodbyeStrangers'': A few strangers have heads on both ends of their body such as the [[https://strangers.atrocityland.com/enter/site/module/elist/s_recurridaize.html recurridrizieri]] (which also contains at least two layers of smaller versions of itself) and the [[https://strangers.atrocityland.com/enter/site/module/red/s_miridraner.html miridraner]]. Oddly the miridraner's two head are not identical. Both heads have mouths but only one has lips. Several of the meoms also have heads on both ends.

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* A pair of human ConjoinedTwins, known as the "snake twins", were born with two heads on opposite ends of a single long body.

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* %%* A pair of human ConjoinedTwins, known as the "snake twins", were born with two heads on opposite ends of a single long body.body.
* Human ConjoinedTwins born this way are called "ischiopagus" (coming from "ischium", meaning hip, and "pagus", meaning joined) and generally come in three flavors: with four legs (most common), three legs [[note]]Each twin having one leg and the both sharing one [[BodyHorror "fused" leg]], often with no motor control, misshapen bones, and ExtraDigits)[[/note]], or two legs (least common). Children born this way rarely live past childbirth, often due to said "logistical issues", such as one or both twins lacking a lower digestive system entirely. Those that do live past childbirth are usually separated early, as the two being conjoined often leads to one twin leaching nutrients from the other's lower digestive tract.
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* Utods in ''The Dark Light Years'' by Creator/BrianWAldiss. The other head has an anus in place of a mouth, but the body plan is otherwise front-to-back symmetrical.
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* The second boss of ''VideoGame/DragonGun'' is a giant flying [[CreepyCentipedes centipede monster]] with two heads, one on each end, both sides capable of attacking you simultaneously.
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quality upgrade


[[quoteright:252:[[Film/DoctorDolittle https://static.tvtropes.org/pmwiki/pub/images/repubs_dems_4507.jpg]]]]
[[caption-width-right:252:Twice the llama, twice the spitting.]]

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[[quoteright:252:[[Film/DoctorDolittle [[quoteright:350:[[Film/DoctorDolittle https://static.tvtropes.org/pmwiki/pub/images/repubs_dems_4507.jpg]]]]
[[caption-width-right:252:Twice
org/pmwiki/pub/images/repubs_dems.png]]]]
[[caption-width-right:350:Twice
the llama, twice the spitting.]]
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* ''WebOriginal/{{Polinices}}'': The Amphinatan at first glance looks like a tropical fish with heads at opposite ends of its body. However, the thin "mouths" at each end are actually two cephalopod-like siphons, the real mouth is located at the bottom center within its mantle, and it has four eyes — two on each side of its thin carapace — right at its center.
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[[folder:Asian Animation]]
* ''Animation/TikTakTail'' has a variation, in that the tiger Tak's tail is an entity of its own, rather than there being another full head on Tak's back. Regardless, Tail does have a visible face with eyes and a mouth.
[[/folder]]
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* Referenced in the small mammal NatureDocumentary ''Tiny Giants'', when the narrator describes the desert centipede battled by the film's grasshopper mouse protagonist as a "two-headed monster". To the mouse, which closes its eyes to protect them and relies on its whiskers' tactile sensitivity to detect its opponent, the centipede's head and tail ends really would seem identical to the touch.

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* Referenced in the small mammal NatureDocumentary ''Tiny Giants'', ''Film/TinyGiants'', when the narrator describes the desert centipede battled by the film's grasshopper mouse protagonist as a "two-headed monster". To the mouse, which closes its eyes to protect them and relies on its whiskers' tactile sensitivity to detect its opponent, the centipede's head and tail ends really would seem identical to the touch.
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* ''ComicBook/PaperinikNewAdventures'': Emperor-class Evronians grow another head on the tip of their long tails. Oddly enough, said head does all the talking and seems cognizant, while the "normal" head only serves to shoot blasts of energy.

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* ''ComicBook/PaperinikNewAdventures'': Emperor-class Evronians grow another head on the tip of their long tails. Oddly enough, said head does all the talking and seems cognizant, while the "normal" head only serves to shoot blasts of energy.energy, but is still the most expressive.
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* The ''Franchise/UltraSeries'' have a bunch of these:
** Twin Tail from ''Series/ReturnOfUltraman'' is the first of many monsters having this design, a legless, shrimp-shaped monster with a second (and more obvious) head in place of its legs. While it gets its name from having twin whips on its upper head, its lower head has a poisonous bite that works in tandem with the upper, which it uses to great effect on its predator, Gudon, and later on Ultraman Jack.
** Bogun from ''Series/UltramanTowardsTheFuture'' has a similar design and origin to Twin Tail, being a kaiju sea creature which has adapted to living on land (although Bogun's base form is a tadpole instead of a shrimp). It's upper head has a nasal whip as well, which it uses to smash up buildings.

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* On one of ''WesternAnimation/TheSimpsons'' "WesternAnimation/TreehouseOfHorror" episodes, Bart puts Snowball II and Santa's Little Helper through a teleporter and they come out as two different pets: one with both heads, ("Twice the pet with none of the poop!") and [[InvertedTrope one with both butts]]. ("Eww! You can be Lisa's.")
** In another, regular episode, Burns and Smothers both play with a two headed dog at the plant. Implicitly it was mutated by the radiation.

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* On one of ''WesternAnimation/TheSimpsons'' ''WesternAnimation/TheSimpsons'':
** In the
"WesternAnimation/TreehouseOfHorror" episodes, segment "[[Recap/TheSimpsonsS9E4TreehouseOfHorrorVIII Fly vs. Fly]]", Bart puts Snowball II and Santa's Little Helper through a teleporter and they come out as two different pets: one with both heads, ("Twice the pet with none of the poop!") and [[InvertedTrope one with both butts]]. ("Eww! You can be Lisa's.")
** In another, regular episode, "[[Recap/TheSimpsonsS4E17LastExitToSpringfield Last Exit to Springfield]]", Burns and Smothers both play with a two headed dog at the plant. Implicitly it was mutated by the radiation.
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* ''Anime/YuGiOh'': Diabound has a snake in place of its legs. The even more powerful Zorc Necrophades has a dragon-like head coming out of his crotch (which is poorly edited to come out of his chest in the English dub).

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* ''Anime/YuGiOh'': Diabound has a snake in place of its legs. The even more powerful Zorc Necrophades has a dragon-like head coming out of his crotch (which is poorly edited to come out of his chest in the English dub). Dartz also uses a card called Twin Bow Centaur that manages to be this tropes without having any heads. It looks like two centaurs conjoined at the waists of the horse bodies but the human bodies do not have heads, so it is headless at both ends.
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* ''VideoGame/MetroidPrime2Echoes'' features the Sandigger, a worm enemy whose heads can only be damaged when either is active.

to:

* ''VideoGame/MetroidPrime2Echoes'' features the Sandigger, a worm enemy whose heads can only be damaged when either is active. ''VideoGame/MetroidOtherM'', likewise, features the Dragotix, a dinosaur-like creature with a small, fire-breathing head at one end and a pair of massive jaws at the other end.
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* ''VideoGame/SilentHill3'' features hovering, blade-twirling creatures called Pendulums, which appear to consist of two human torsos attached at the waists, heads at opposite ends and facing in opposite directions.
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* In the freak show stage of ''VideoGame/CarnEvil'' you'll encounter an enemy who is a conjoined twin with each man's torso meeting at the waist. He also talks like [[Franchise/DisneyAnimatedCanon Goofy]] for some reason.

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