Background. Synesthesia occurs more commonly in individuals diagnosed with Autism Spectrum Condition (ASC) and is associated with autistic traits and autism-related perceptual processing characteristics, including a more detail-focused attentional style and altered sensory sensitivity. Furthermore, autistic traits and autism-like sensory sensitivity show a synesthesia-dosage effect, since they increase with the amount of synesthesia types in synesthetes and with the degree of synesthesia (how consistently colors are associated with graphemes) in non-synesthetes.Methods. Here we investigated a predominantly non-synesthetic twin sample, enriched for ASC and other neurodevelopmental disorders (n=65, 14-34 years, 60% female). We modelled the linear relationships between the degree of synesthesia and autistic traits, sensory sensitivity, and visual perception, both within-twin pairs (22 pairs) where all factors shared by twins are implicitly controlled (including 50-100% genetics), and across the entire cohort.Results. Our results indicate that the degree of synesthesia is associated with autistic traits only within the attention to details domain and with sensory hyper-, but not hypo-sensitivity. These associations were stronger within-twin pairs compared to across the sample. Further, twins with a higher degree of synesthesia were better than their co-twins in identifying fragmented images in the Fragmented Pictures Test (FPT).Conclusions. This study is the first twin study on the association between synesthesia and autism-related perceptual and clinical features, and the results suggest that a twin design can be more sensitive for detecting these associations. Consistent with previous findings, the results support an association between the degree of synesthesia and autism-related perceptual features, while utilizing a different self-report measure for sensory sensitivity. The novel finding of enhanced feature integration in the FPT in twins with a higher degree of synesthesia challenges the view of a generally more detail-focused attentional style in synesthesia and might be related to enhanced memory or mental imagery in more synesthetic individuals.