A sex position involving three participants. Similar to sandwich position, the participants must have their bodies close together with outer two participants. With ordinary sandwich position the two outer participants face towards the inner participant. However with twisted sandwich, the outer participants are facing partly towards the inner participant, and partly they are turned in a common direction. It can be performed standing, laying down, or sitting. Gender and penetration do not matter.

See also side-by-side_position, where two participants are facing the same way, which generally towards or away from the third participant.