A pet chew comprises a casing having a cylindrical cross section and defining a first end and a second end, the casing comprising a first section and a second section having edges running along the length of the casing joined to one another, wherein the first section has a different appearance than the second section, wherein the first section comprises an edible plant material and the second section comprises a meat material, and wherein the casing is knotted at the first end and the second end.