Gold Tooth was a gold-plated version of Needles Kane's ice cream truck from Twisted Metal: Black. Its stats are similar to Sweet Tooth's, though slightly stronger. Its special remains unchanged from Black. He is only playable in Twisted Metal Lost after beating the game on the hard difficulty level.
- A secret benefactor is said to give this golden version of the car to Sweet Tooth, but he still remains in secrecy.
- The eyes in the head above the car now have an intense red glow, but the car remains with the same shape.
- In Twisted Metal (2012), Sweet Tooth can be painted to look like Gold Tooth. The gold finish is a paint available to all vehicles.
|Sweet Tooth - Yellow Jacket - Darkside - Thumper - Outlaw - Mr. Grimm - Warthog - Crimson Fury - Pit Viper - Hammerhead - Spectre - Roadkill - Minion|
|Twisted Metal 2|
|Grasshopper - Twister - Axel - Mr. Slam - Shadow - Dark Tooth|
|Twisted Metal III|
|Auger - Club Kid - Firestarter - Flower Power - Primeval|
|Twisted Metal 4|
|Orbital - Pizza Boy - Quatro - Goggle Eyes - Meter Maid - Trash Man - The Joneses - Drag Queen - Rob Zombie - Micro Blast - Moon Buggy - RC Car - Crusher|
|Twisted Metal: Black|
|Brimstone - Crazy 8 - Junkyard Dog - Manslaughter - Tanker - Warhawk|
|Twisted Metal: Small Brawl|
|Mime - Trapper - Piecemeal|
|Twisted Metal: Head-On|
|ATV - Cousin Eddy - Tower Tooth|
|Twisted Metal: Lost|
|12-Pak - Gold Tooth|
|Twisted Metal (2012)|
|Death Warrant - Juggernaut - Kamikaze - Meat Wagon - Reaper - Road Boat - Talon - Vermin - Slayer - Iron Maiden - Sweet Tooth's Carnival of Carnage|