Sweet Tooth's Carnival of Carnage, also sometimes known as the Carnival of Carnage, is a titanic, nightmarish circus big top-styled mobile fortress of doom created by Sweet Tooth's followers, the Clowns in their insane figurehead's honor. It was edicated to the memory of the late Needles Kane, Sweet Tooth's original name. It serves as the final boss of the 2012 reboot videogame Twisted Metal, and the boss battle is separated into 4 phases as the players work their way through this monstrous war machine.