In Italian, augmentatives (alterati accrescitivi) are formed via the grammatical phenomenon alteration (alterazione). Examples include: librone, palazzone, coltellaccio, and azzurrognolo.

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Modified Italian verbs (alterati verbali) are formed using suffixes. The resulting verbs are diminutive and augmentative, or can convey a sense of repetition. Examples include: bucherellare, scoppiettare, and mangiucchiare.

Are you sano come un pesce? Transliterally, the Italian saying means "healthy (well, sound) as a fish"; in English, the idiomatic meaning is: "fit as a fiddle." There was a time when pollution was not as widespread as it is today, and it was unusual to see sick or dead fish floating or beached on riverbanks. Hence, the belief that fish had an iron constitution, were free of diseases, and never got sick.