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If two twin couples have babies do the babies come out identical?

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Yes exactly and they also come out as twins.. no matter what. So basically you get quads but you have to be careful they do not get physically attracted to their cousin assuming they are of opposite sex cos then you have an infinite loop of babies having sex and making identical babies basically you've got yourself a cloning machine. which involves a lot of baby sex A LOT OF.
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How can you get a twin baby?

It is possible to have twins through in vitro fertilization, but "monozygotic" or identical twins are just a fortunate accident of nature which happens when a zygote splits.

How can you have twin babies?

There is no sure way even if it is running in the family but if you have IVF they implant more than one.