A kitten born with two faces has died.

Bettie Bee was born Dec. 12 in South Africa with a rare congenital condition called craniofacial duplication, The Dodo reported. The kitten was born with two noses, two mouths and three eyes. While Bettie Bee received special care and was initially thriving, she died 16 days after birth after developing pneumonia.

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While most cats born with two faces die shortly after birth like Bettie Bee, a few have beaten the odds over the years. Frank and Louie lived to be 15, making it the the longest surviving janus cat according to the Guinness Book of World Records.

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