A pet chew has an elongated tube having a wall extending between two ends. The tube has a length between the ends. The wall forms an interior cavity that extends along the length of the tube. The wall is made of extruded material of animal meat, animal skin and plant material such as starch and grain. The interior cavity is hollow. In one embodiment, each end of the tube is tied into a knot, with the tube forming a central shank extending between the knots. In another embodiment, a wrap is located around the exterior of the tube. The wrap has a different appearance than the tube. In still another embodiment, plural tubes are provided, which tubes are braided about each other.