VKB-SIM

Small question, I just got my stick an hour ago, haven't even plugged it in yet, just admiring the hardware. I was messing about adjusting what I could and I loosened the twist axis cam. I cant seem to get it tight again. I don't really want twist axis to be active, and I'm afraid I lost the cam on my carpet somehow. Can anyone show me a pic of what it looks like and/or what the adjustment hole should look like? Or answer if its even possible for the cam to fall out.

There's no cam on twist module. Could you post a picture pointing at what exactly happened?
If you're talking about the rusk (the locking cylinders), then it consists of 4 parts: 2 cylinders, 1 bolt, 1 spring washer. To install it properly insert the bolt with the spring washer into the half cylinder with a groove on its end; the other half has a thread the bolt will lock into. The process is visually explained here.

Sorry I called it a cam, but I think its more of a screw. I'm talking about the part that locks down the twist axis on the grip, and I've just realized that there is no screw installed at first, you just put in one of the short allen head screws that come with the stick. I must have thought I loosened a screw because it seemed like the twist opened up after, but I think it was just me loosening up the initial tightness without realizing. IN OTHER WORDS, I am stupid haha.

You're just adjusting to the new device, no worries. There's a screw provided in one of the plastic bags that could lock the twist. And check the official YouTube channel for more guides for your grip and base.