In some fanfictions, their twin status might change the way the Sorting Hat sorts them. Instead of Harry going to Gryffindor, perhaps they both end up in Hufflepuff because of their shared values that are more in line with that house. This could lead to a completely different story arc where they are known for their loyalty and hard work rather than Harry's typical Gryffindor - like heroics. Also, their family relationships would be different. The Dursleys might have to deal with two magical children instead of one, which could change the way Harry (and Neville) grow up and view the Muggle world.
In some fanfiction, they could be on a quest to find a hidden magical artifact that was once owned by a great wizard. Along the way, they encounter various magical creatures and overcome obstacles using their combined skills and courage. Neville's knowledge of Herbology and Harry's combat skills would make them a great team. For example, Neville could use his knowledge of plants to create barriers or distractions while Harry battles any dark wizards or dangerous creatures that try to stop them.
One possible plotline could be Harry and Neville teaming up to discover a new spell or magical ability that has been long forgotten in Hogwarts. They might explore the Forbidden Forest together in search of ingredients for a potion related to this discovery.
One interesting plotline could be Neville, who is already good at Herbology, discovers a new way to use plants in potions with Harry's help. This changes the way potions are made at Hogwarts.
One interesting plotline could be that they discover their twin relationship early on and try to keep it a secret from everyone at Hogwarts. They might secretly help each other out in classes and with their rivalries against other houses.
A possible plotline is their different magical abilities. Percy might be really good at transfiguration and charms, while Harry has his natural talent for defense against the dark arts. They could compete in a friendly way, but also learn from each other. For instance, Percy could teach Harry some advanced transfiguration spells, and Harry could show Percy some new defense techniques he learned from his experiences.
One interesting plotline could be the Carrow twins trying to manipulate Harry into joining their dark deeds, but Harry resists and tries to turn them to the good side. Another could be Harry forming an unexpected friendship with one of the twins that causes a rift between the twins themselves.
Perhaps a plotline where they form a special bond while facing a common enemy. They might have to work together to outwit a dark wizard or a tricky magical creature. It could involve using their unique skills and teamwork to overcome challenges.
One interesting plotline could be the twins getting involved in a magical mystery that Harry also stumbles upon. Maybe they discover a hidden spell together and have to figure out how to use it properly.
Another interesting plot is when they are both part of a magical competition. They start as rivals but end up learning from each other. In one particular fanfiction, they are in a dueling tournament. Through the duels and the preparation for them, they see each other in a new light and form an unexpected bond.
Well, perhaps in the fanfiction, the pregnancy could be a result of some sort of magical accident. For example, a misfired spell that has unintended consequences. Then, Neville and fem Harry would have to deal with not only the physical changes but also the emotional turmoil. They might seek help from their friends like Hermione and Ron, who could offer different perspectives on how to handle this situation.