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I saw a post about these on reddit a while ago and thought it'd be fun to make my own. I whipped this together quickly with an ico sphere, lattice and shrinkwrap modifier. I made a few variants based on print outcomes and comparing to reference materials and landed on v4 which I think rolls the best, has the best shape and has the most visible numbers.

Mine are painted green because I'm using them as "hags teeth" where the hag will give guidance in exchange for a tooth (usable 12 times per adult). They could also work like a hags eye giving them disadvantage on attacks/actions against her and generally letting her know where they are.

They definitely aren't a perfectly d4 die but they shouldn't be - if they land cocked or on the cap of the tooth that could also be counted as a 0 which is probably one of the most likely rolls. Still a +2 and losing a tooth is better than death... maybe?

I've completed my quest for 1000 models in 2025 so now I'm trying to decide whats next. You can follow along with me on Thingiverse, Printables, Cults3d or provide suggestions on Patreon here: https://goto.adamnant.com/l/patreon?site=thangs&model=d4-teeth&cta=footer (as well as get codes for exclusive downloads on Cults3d). If you have something that you need or a custom model like this that you want then let me know and let's make it!