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The phrase "almost every item" is correct and usable in written English.
It can be used when referring to a majority of items in a group, indicating that there are very few exceptions.
Example: "In the store, almost every item was on sale, making it a great time to shop."
Alternatives: "nearly all items" or "most items".
Exact(31)
Dutch students try to answer almost every item.
Almost every item has a story to tell or a name to drop.
Almost every item -- chicken, tuna, quail, pork and veal kidneys -- was grilled.
He found significant differences in student behaviour that affected student performance: Dutch students try to answer almost every item.
In some way, the federal government regulates the price of almost every item or service covered by Medicare.
However, elders who are living with relatives had a significantly higher emotional health status in almost every item than elders who are living alone.
Similar(29)
"He's a staunch Republican, but Chuck and I agree almost on every item of foreign policy," Obama said in August 2008, a month after taking Hagel with him on a tour of Iraq.
The policy change might not sound much, but it in effect allows the store to avoid almost all price matching of electrical items – because John Lewis has adopted a policy of offering two-year warranties on almost every such item.
Almost every clothing item, including shoes and accessories like handbags and belts, can be recycled.
To the best of her knowledge, she has tracked down almost every Kylie item of importance there is to own.
Almost every news item mentioned in Thursday's "Today in History Feature" is of significance to our generation.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com