Twisted Astro is larger than his Toon counterpart. He appears to be crying Ichor but only on the right side of his face. Both of his eyes are red including his left star eye. His blanket is ripped revealing his four arms. There is Ichor on his upper right arm, his lower left arm, and his right leg. His nightcap is also larger, dragging along the floor. The bottom of the nightcap is entirely coated in Ichor. When idle or walking, he holds two of his hands to his face seemingly trying to wipe away his tears or hide them. Also, the tip of his nightcap will twitch every few seconds when idle. If you want to outrun this Twisted, it's recommended to get Movement Speed or Stamina items like Speed Candy, Protein Bar, etc. However, his speed was buffed in the 0.4.0 Update, now being around the same speed as a Common Twisted (excluding Twisted Shrimpo). Thus, making it harder to do so. If you're doing solo and failed a Skill Check on a machine, It's recommended to let Twisted Astro spot you so that you don't lose progress on said machine.