The game's musical score was named Best Original Soundtrack of the Year in Game Players 1995 Holiday Edition (Vol. 8, No. 13)
It was named #130 out of 200 of the "Greatest Games of Their Time" by EGM Issue #200 (Feb. 2006).
Originally live action videos were filmed and was going to be used, but were cut out. These can now be seen in the PS2 game Twisted Metal: Head-On (Extra Twisted Edition).
The game was originally called High Octane, but this was changed due to Bullfrog's game Hi-Octane. The next suggestion was Urban Assault until it finally was named Twisted Metal.