"Shut up and bleed, you motherfucker!"
—Sweet Tooth, Twisted Metal: Black, Twisted Metal 2012

Needles Kane is the series’ trademark character, notable for his flaming head, and has appeared in every Twisted Metal game to-date, driving Sweet Tooth. He has had many different looks, the first of which he has green hair and face paint, then he transitioned to the trademark flaming hair. He then proceeded to wear a mask strapped onto his face, which first appeared in Twisted Metal: Black. He is also the leader of The Clowns, a playable faction in Twisted Metal (2012).

Often referred to as Sweet Tooth, Needles Kane is an insane killer clown who drives an ice cream truck. His face is seen on the cover of every Twisted Metal game to date. His character has gone through many different designs and versions. He also has the most ties with other characters in the series.