"Akilov confesses to a terrorist crime and accepts his custody detention," his lawyer Johan Eriksson told a custody hearing in a Stockholm district court.
Akilov, who was arrested in a Stockholm suburb just hours after Friday's attack, appeared in the courthouse's special heavily-guarded, high-security courtroom. Handcuffed and wearing a thick green hoodie over his head, he kept his head bowed down.
Judge Malou Lindblom ordered him to remove the hoodie and he complied, revealing dark hair with streaks of grey.
After Eriksson's statement, the judge consented to the prosecution's request to have the rest of the hearing held behind closed doors due to the classified nature of the information in the investigation.
After about an hour, journalists were readmitted into the courtroom and the judge remanded Akilov in custody.
Court documents seen by AFP showed Akilov, who is facing life behind bars, had requested that his state-appointed lawyer Johan Eriksson be replaced by a Sunni Muslim, saying "only a lawyer of this faith could assert his interests in the best way". The court refused the request.
Eight people were still in hospital, two of whom were in critical condition.
Akilov, a construction worker who had been refused permanent residency in Sweden in June 2016, had gone underground last year after receiving a deportation order, police said.
Friday's attack resembled previous rampages using vehicles in Nice, Berlin and London, all of them claimed by the Islamic State (IS).
IS has not claimed responsibility for the Stockholm attack, but Swedish media reports yesterday said Akilov had told investigators that he had received an "order" from IS to carry out the attack against "infidels".
"I mowed down the infidels," Aftonbladet quoted him as saying, citing sources close to the investigation and describing him as a father of four whose family had stayed behind in Uzbekistan.
"The bombings in Syria have to end," he was quoted as saying.
On Sunday, a second suspect - also from Uzbekistan according to media reports - was formally placed under arrest, Stockholm district court judge Helga Hullman told AFP, refusing to disclose any links between the two suspects.
Police have said they expect their investigation to take a long time to wrap up.
Swedish politicians have meanwhile expressed anger over the failure by the authorities to deport the suspect, as police said around 12,000 people had absconded after being denied the right to stay.
Swedish Prime Minister Stefan Lofven, who led a nationwide minute of silence for the victims yesterday, said he was "frustrated" by the problem, while far-right Sweden Democrats leader Jimmie Akesson called it a "huge scandal".
However, national police commissioner Dan Eliasson said "there was nothing in the system that indicated (the suspect) would do something like what he did on Friday".
Justice Minister Morgan Johansson meanwhile told AFP he wants to beef up Sweden's anti-terror laws.
"We've criminalised foreign travel for terrorism purposes, we've extended (our laws) on terrorism financing. There is a possibility to extend them further.
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