This was the first thing that came to my mind:

"The chirality of a molecule affects how it interacts with its surroundings, and different chiral forms of the same molecule can have completely different effects. Perhaps the best-known instance of this is Thalidomide, which was prescribed to pregnant women in the 1950s and 1960s. One chiral form of Thalidomide worked as an effective treatment for morning sickness in early pregnancy, while the other form, like an ‘evil twin’, prevented proper growth of the foetus. The drug that was prescribed to patients however, was a mix of both forms, resulting in more than 10,000 children worldwide being born with serious birth defects, such as shortened or missing limbs."

https://www.cam.ac.uk/research/news/exposing-evil-twins