The Deluxe Twisty the Clown Mask from American Horror Story includes a removable mouthpiece so that you can expose the horror that Twisty hides from the world. The mask is made from a natural latex material and is a one size fits most adults. This is a full over the head mask. Brought to you by Imaginations Inc. Imaginations Creative Costumers is your one stop shop for all your Halloween needs.