This stitch used in hand embroidery is one of those fun, rhythmic stitches that works up fairly quickly. The moti stitch is worked from right to left and has a wider base with the knot falling on the stitch line. It looks like a barbed knotted stitch. So the knotted pearl stitch ends up just a bit more “knotty” than the Palestrina stitch. Often, you’ll see the knotted pearl stitch called the “reverse Palestrina stitch,” but in fact, it isn’t actually the Palestrina stitch reversed – it has one additional step to it.