Twice Through the Heart is a musical work by the English composer Mark-Anthony Turnage, variously described as a dramatic scena, as a monodrama, as a song cycle It is scored for mezzo-soprano and 16 instrumentalists and sets an English-language libretto by the Scottish poet Jackie Kay based on her script for a television programme. Originally intended to be a full-length opera, Twice was composed between 1994 and 1996, undergoing substantial reworking before Turnage found a form with which he was satisfied. It was first performed in 1997 when it was put on both in the concert hall and in the opera house. The critical reception has been generally favourable, with several authors commenting positively about the instrumental writing and emotional impact of the work, though some critics see limitations in the libretto or note the great demands that the vocal writing provides for the soloist.