A piston assembly includes a piston head for reciprocating back and forth within a cylinder of an engine, an upper rod coupled to the piston head at one longitudinal end of the upper rod and fixed relative to the piston head, and a lower rod rotatably coupled to an opposite longitudinal end of the upper rod, the lower rod configured to pivot about the opposite longitudinal end of the upper rod. The lower rod is configured to couple to a crankshaft at a longitudinal end of the lower rod opposite the upper rod. Methods of forming a piston assembly and engines incorporating such piston assemblies are also disclosed.