What does the cryptic crossword clue "Twist knife initially with blood over it (4)" mean?

The definition is "Twist". The wordplay uses acrostic, charade. KIN (synonym of "blood") [first letter: "initially"] + K (first letter of "knife"); definition: "Twist" The answer is KINK.

Twist knife initially with blood over it (4)

Guardian Cryptic #29116 | 23 Down | 2023-07-07 flower

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