Clue: Run through Kama Sutra's middle one: climax in new positions! (11,4)
Answer: EXCLAMATION MARK
Explanation: Run through Kama Sutra's middle one: climax in new positions! (11,4)
**R** (run) *through* ***(kama T one climax)** where T is (su)T(ra) [*'s middle*]