Twitch integration in Vermintide 2 is a game mode where a streamer's chat can vote on options randomly presented during a mission. It can range from giving a player a potion, providing small buffs, or most commonly spawning all sorts of enemies (from disablers, to mini-bosses, to full blown bosses like Trolls). There's a bit of choice and RNG involved, but overall you're gonna have a bad time. But you gotta have a bad time to have a good time :)
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