Step 1: Build the definition from the two essential properties a confounder must possess simultaneously.
Step 2: First, it must be an independent risk factor for the disease and also be related to the exposure being studied; a variable tied to only one of these cannot confound.
Step 3: Second, it must differ in frequency between the compared groups (unequal distribution), because an equally distributed factor would not bias the comparison. Only the option satisfying both - linked to exposure and disease, distributed unequally - is correct. \[\boxed{\text{Associated with exposure and disease, distributed unequally}}\]