A pressure pulse tool includes a tool housing, a valve disposed in the housing and having first and second valve components that are each rotatable relative to the housing and that cooperate to open and close a fluid flow path through the valve. The tool may include first and second power section coupled to the first and second valve components, respectively, for rotating the respective valve components. The power sections may each include a turbine rotor and the first and second rotors may have different geometries or may be powered by different amounts of fluid flow therethrough. Flowing fluid through the tool generates a pressure pulse having a desired pressure pulse frequency that may be lower than the first or second turbine rotor would generate alone.