Did you know that they *can* be genuine? I was surprised too. According to Mike Beyers, some 30 two-headed or two-tailed coins have been certified genuine by ANACS, PCGS or NGC, including three US two-tailed coins (http://www.minterrornews.com/issue2.pdf). Not sure whether anyone can certify whether it was a genuine mistake loading two dies of the same side, but that is another issue.
More than likely, that two-headed coin is a common novelty made by drilling out one side, shaving down another and inserting it in the shell of the first - like this one...
http://img50.exs.cx/img50/6541/noveltycoin.jpg
Still...ya never know