Objective: The aim of this study was to investigate the role of Twist in promoting Vasculogenic Mimicry, thereby enriching and enhancing the theory of vasculogenic mimicry. Methods: The expression of Twist, Epithelialmesenchymal Transition markers (E-cadherin and Vimentin), and VM marker CD34-PAS were observed in gastric carcinoma tissues and normal gastric tissues. The correlation between Twist, EMT markers, and clinical pathological features of gastric carcinoma was analyzed. The relationship between VM and EMT markers, as well as Twist and EMT markers, was studied. Furthermore, the involvement of Twist in promoting gastric carcinoma EMT and VM formation was validated. Results: Significant differences were observed in the expression of EMT markers (E-cadherin and Vimentin) and VM marker CD34-PAS. Twist showed a certain correlation with EMT markers. Conclusion: Twist may induce EMT in gastric carcinoma cells and promote the formation of VM in gastric carcinoma. Note The translation provided aims to align with the language style typically used in scientific publications.