An X-ray tube for generating two focal spots displaced with respect to each other and a medical device using such X-ray tube are proposed. The X-ray tube (1) comprises a cathode (7) and an anode (9) wherein the cathode (7) comprises a first electron emitter (15) adapted for emitting a first electron beam (17) for generating a first focal spot (25) on the anode (9) and a second electron emitter (19) for emitting a second electron beam (21) for generating a second focal spot (27) on the anode (9). Therein, each electron emitter (15, 19) comprises an associated switchable grid (37, 39) for blocking the respective emitted electron beam (17, 21). In order to realize a desired displacement of the first and second focal spots (25, 27) in a y-direction, the first and second electron emitters (15, 19) may be displaced in the z-direction. Due to the focal spots (25, 27) being displaced in y-direction, an overall resolution of for example a high quality CT scanner may be significantly enhanced.