Twitch's design closely resembles that of the Skaven, a devious and warlike race of anthropomorphic rats from the Šablóna:W franchise. The Medieval skin reflects this similarity more than his original skin.
Šablóna:Ai is a generic phrase used to describe the random spraying of bullets with an automatic weapon hoping to hit something.
Šablóna:Csi was conceived by the 2 people that first hit 350 friend referrals: Grez and Greyrir Wolfwood. Grez picked the champion that would receive the skin, and Greyrir Wolfwood designed a "Medieval Twitch, with a Šablóna:W on his cape, and a pot on his head". The idea was given to the Riot artists and Medieval Twitch was released a few months later.