The design of the Twisted Heart creates two nubs on either side of the vibrator. This creates a unique look that's not often seen for a vibrator. The material is easy to clean. There was a slight smell to it when first opening the packaging, but it dissipated quickly in my experience.

My favorite part of the toy has to be the two nubs. Something about these nubs reminds me of when a tongue is tightened to a pointed tip, and I find that aspect really hot. As a result, it's very nice for using the nubs on the clit. The shape of the nub is good at hugging it and vibrating against it. I had read on another review that up to an inch could be inserted vaginally comfortably, but, for me, I couldn't see how. So if you're a little on the tight side---don't try that at home, kids. The head is very girthy, and the nubs after the first inch would only make it harder to insert.

However, it is a very nice toy for external use, even on the low setting. It has a nice range of intensities. The max setting is really strong, but even the low setting is at a nice, effective intensity. You may not want to put it on the max setting, or at least not for long, unless you're looking for a very quick way of getting off.

The noise also increases with vibration intensity. So, if you keep it on the lower side, the noise isn't an issue. It may still not be an issue at max, but there is definitely a big difference in noise level from low to max. Definitely effective at clitoral orgasms. But if you're looking for more than that, you may want to pass on this one.