Intellect devourers have a special ability that allows them to target a creature's intelligence and eat its brain. If successful, they replace the creature's brain with their own, gaining control of the body. This is done magically, so it's not physically possible to tell if a creature is being controlled by an intellect devourer.
Rarely, an intellect devourer that lived a long time and had grown massive on consumed intelligence underwent a second metamorphosis, becoming what was known as an intellect glutton. These creatures were much more powerful than their previous form but could no longer take on a creature as a host due to their size.