The twisted Staten Island teen who allegedly decapitated his mom’s boyfriend remained hospitalized Wednesday – delaying his first court appearance in the grisly crime.

Doctors still haven’t medically cleared accused killer Damien Hurstel, 19, who appeared to suffer a seizure while en route to court Tuesday.

Hurstel won’t be arraigned either inside a Staten Island courtroom or from his hospital bed until his doctors clear him, officials said.

Court papers show Hurstel faces charges of second-degree murder, manslaughter and criminal possession of a weapon.

He’s accused of stabbing city Department of Sanitation worker Anthony Casalaspro, 45, and severing his head Monday morning inside their Cary Avenue home, court papers state.

Sources have said the troubled teen — who had a history of mental health issues — planned to dispose of Casalaspro’s body by dismembering and pulverizing the pieces in a blender, starting with the head.

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