The Xo Tl'mi-go are thin humanoids with pale skin, sunken eyes, and tapeworm-like mouths. They dwell underground and only come out at night.
In the RPG...
With human-ranged stats and no unique abilities, the Xo Tl'mi-go come across as fairly unremarkable. The only real threat would come from the fact that they're typically encountered "in groups of two to ten".
The only change to the Xo Tl'mi-go in the 7e Malleus Monstrorum is that their range of CON has been decreased, and their DEX has been increased.
In a video game...
Besides looking slightly unusual, I don't think they would be worth it, unless the creator felt like a change in cannon fodder. Might be a good enemy for in a sewer though.
In a film...
I'm sure I'm not the first to make the connection, but the Xo Tl'mi-go are almost identical to the fluke man from The X-Files episode "The Host", so even though they were created first, would most likely be seen as a rip-off of that creature.
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