Does 'itty-bitty' simply mean 'tiny'? Yes! It's not used very much, though, especially in serious adult conversations, where 'tiny', however, would not be out of place.
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| The itsy bitsy spider Crawled up the water spout Down came the rain And washed the spider out Out came the sun And dried up all the rain And the itsy bitsy spider Crawled up the spout again. |