Confusion Grenades are mental grenades used for Confusion. They appear as little green question marks with puzzled faces, and when picked up gives Razputin Aquato one more grenade to fire. When the grenades are lobbed, they explode in a green cloud, confusing anyone caught in the line of fire. Razputin first gets to use these when he acquires the Confusion power in Black Velvetopia, required to beat Cobra, the fourth of four Luchadores, to obtain the last of the four Queen cards required for Edgar Teglee to build his card stack.
Razputin can carry five of these grenades at a time, and an upgrade to the amount that he can hold can be found in the Meat Circus.