Portuguese Knotted Stem Stitch

The Portuguese knotted stem stitch is worked from left to right or bottom to top (opposite for left-handed embroiderers). Begin as you do for a stem stitch.
Bring your needle through the fabric, then take it down the length of your stitch, pointing it back towards the place you emerged. In the illustration, you'll see that this is done using a "sewing" method - you work on top of the fabric, without having to go to the back.

This stitch can be worked with or without a hoop - personally, I usually use a hoop, but when I'm using the "sewing" method (as opposed to the "stab" method, where your working hand goes to the back of the fabric to get the needle and put it back through), I don't necessarily keep the fabric drum tight. A little give in the fabric helps with the "sewing" method of embroidery.

After you've wrapped the thread twice around your first stitch, you'll take another stitch, just as you did the first, progressing up the fabric the length of the new stitch, and emerging where the last stitch went down into the fabric.

Now that you have more than one stitch, you are going to wrap your thread twice around the both stitches - the base of the former stitch (after the "knot" that you made on top of the first stitch) and the middle of the new stitch. Take your needle under both stitches twice so that the working thread winds around the stitches twice. See the photo above and below for illustration.
Notice how the needle passes under both stitches and does not pick up any fabric. This is done twice. In the photo above, one pass has already been made, and this is the second pass under the two stitches.
Continue along your line in the same manner, going forward the length of the stitch, pointing the needle back to where your last stitch went down into the fabric, keeping the needle on the left side of the stitch. Pull the needle through, then, going from the right side, pass it under the two stitches twice, and then proceed to your next stitch.
On the back of your fabric, you'll see a line that looks like backstitches.
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