Musk, the world’s richest person and chief executive of the American company, posted a follow-up image in response to the Friday post of six hooded figures captioned "shadow ban council reviewing Tweet."
The lowbrow farce could awaken Twitter staffers angered by Musk's continued bid to buy the firm after saying he'd take a hardline outlook advocating free speech.
The pregnant man emoji is aimed at being inclusive to transgender people - with Musk frequently aiming at what he sees as woke overreach while constantly insisting that he bears no ill-will towards the LGBTQ community.
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Many have moaned about Musk, accusing him of being a transphobe over a 2020 tweet mocking pronouns, as well as a bully. However, others have said he is the breath of fresh air that Americans need against big tech censorship.
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Responses to the richest man's attack at the fellow billionaire's expense garnered mixed reactions on the platform: "How is this man such a savage hahahaha," wrote one user.
"Did he attack you, though? Just trying to figure out the motivation for the post," wrote @BarExamTutor.
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"And not being overly-sensitive or holier than thou or anything like that. But something about attacking appearance has a high-school-age "bully" kind of feel to it."
Gates, the world's third-richest man after Musk and Jeff Bezos, took a shot earlier this year at the Tesla CEO after the electric vehicle maker announced taking a $1.5 billion stake in Bitcoin.
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"Elon has tons of money and he's very sophisticated, so I don't worry that his Bitcoin will sort of randomly go up or down," Gates told Bloomberg on Thursday.
"I do think people get bought into these manias who may not have as much money to spare, so I'm not bullish on Bitcoin. My general thought would be that if you have less money than Elon, you should probably watch out," he said.
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Gates has also previously made remarks about electric trucks like the Tesla Semi not being viable, which Musk countered.
In an interview on the Joe Rogan Experience, Musk said he believes that the Microsoft founder had a big short position on Tesla stocks at one point.
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"I heard that at one point he had a large short position. I don’t know if that’s true or not, but it seems weird," Musk told Rogan.
"People I know who know the situation pretty well, I asked them,'' Are you sure?” and they said “yes, he has a huge short position on Tesla." That didn’t work out too well."
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