Sam and Twitch #4 was published by Image Comics on November 1, 1999, as part of a series that began in 1999. Brian Michael Bendis writes, and art comes from Angel Medina, Ashley Wood and Jay Fotos. This 36-page issue features Spawn (Simmons), Twitch Williams, Sam Burke, Dr. K.C. McRory and Barbara Rodriguez, among 9 characters cataloged on VerseDB.