Tsuruhime developed this transformation after attempting to learn the ways of Sage Mode from her father. While having no problem gathering the energy, she found herself having trouble balancing it with her chakra. This mostly stemmed from the energy within her cells, which caused the energy to become disrupted. Her father stated that instead of excluding the energy, she should attempt to balance the four energy together. Training for months, she was able to balance the energy, allowing her to achieve a unique form.