The observation of an unusual crystal habit in the common diuretic drug hydrochlorothiazide (HCT), and identification of its subtle conformational chirality,has stimulated ad etailed investigation of its crystalline forms.E nantiomeric conformers of HCT resolve into an unusual structure of conjoined enantiomorphic twin crystals comprising enantiopure domains of opposite chirality.The purity of the domains and the chiral molecular conformation are confirmed by spatially revolved synchrotron micro-XRD experiments and neutron diffraction, respectively.M acroscopic inversion twin symmetry observed between the crystal wings suggests apseudoracemic structure that is not as olid solution or al ayered crystal structure,but an unusual structural variant of conglomerates and racemic twins.C omputed interaction energies for molecular pairs in the racemic and enantiopure polymorphs of HCT,a nd the observation of large opposing unit-cell dipole moments for the enantiopure domains in these twin crystals, suggest ap lausible crystal nucleation mechanism for this unusual crystal habit.