Twisted Shifterz - Piston Skull Shift Knob The Twisted Shifterz Piston Skull Shift Knob is built for drivers who want their interior to make a statement the moment they grab the wheel. Designed and manufactured in America from the ground up, this shift knob blends aggressive piston-inspired engineering with a bold skull design that reflects true performance culture. Twisted Shifterz machines and finishes each piece to deliver a solid, comfortable feel in your hand, adding weight for smoother, more confident shifts. Made of premium materials, precise craftsmanship, and a distinctive look you won’t find in mass-produced parts. This isn’t just a shift knob; it’s a functional upgrade and a signature piece that shows your build means business. 1/2" wide, 3" deep and 3-3/4" tall. Weigh approx. 220 grams. Color: Bone & Silver Knob Only, Does not include adapters DIRECT SHIPPED from TWISTED SHIFTERZ (Fulton, Illinois) This is the original Made in the USA. Anything else is a fake copy - Get the Original. VC-PSTN Still looking for the perfect part? Having trouble finding it?Call our product experts at 603-224-7370 and let us lend a hand.