unknown period of time, Marcus finally gave in to Needles' demands, externalizing the facet of himself by creating a macabre clown mask. Unfortunately, this allowed Needles to subdue or destroy Marcus' personality, effectively bringing the man's repressed madness and sadism to the forefront. To celebrate his new freedom, the newly-named Sweet Tooth donned the clown mask (somehow setting his head ablaze in the process) and decided to murder "his" family. Marcus' wife, youngest son and baby were quickly slaughtered, but Sweet Tooth took his time with his daughter. He would later admit this was a mistake, as it gave the girl time to grab a pair of large scissors and drive them towards the mad clown's right eye (hitting just under). As Sweet Tooth reeled in pain, Sophie fled into the night, becoming the first—and only—person that survived Sweet Tooth's murderous urges. Infuriated at this turn of events, Sweet Tooth vowed to find his daughter and "make her BLEED". He began roaming the world in his ice cream truck—modified for combat and destruction—in search of the one that got away. At one point, he was able to track Sophie to a hospital, but found no sign of her beyond the "scent of her fear". On the other hand, Sweet Tooth took great pleasure in slaughtering everyone that got in his way on the way up, musing that "it was like Christmas morning: every hallway filled with little, tiny, blood-filled gifts". After killing yet another woman on the hunt for Sophie, Sweet Tooth decides to enter Calypso's latest Twisted Metal contest, intent on using his wish to finally catch up with his elusive prey. During the competition, his main opponents are The Skulls, led by Mr. Grimm. In the final battle of the tournament, Sweet Tooth was pitted against The Brothers Grimm, but managed to emerge victorious at the cost of his gunner's life. After he wins the contest, Sweet Tooth wishes for Calypso to send him to Sophie's hiding place. As Calypso summons his powers, Sweet Tooth awakens to find himself in a coffin, complete with a blackened skeleton lying on top of him. Calypso reveals that Sophie has been dead for ten years; her mind broken by the murder of her family, she committed suicide long before her father found the hospital she had lived in since that night. Infuriated at Calypso's trickery, Sweet Tooth futilely attempts to escape