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The phrase "almost one fifth" is correct and usable in written English.
It can be used when you want to express a quantity that is nearly 20% of a whole.
Example: "The survey revealed that almost one fifth of the participants preferred option A over option B."
Alternatives: "nearly one fifth" or "approximately one fifth".
Exact(21)
In our sample, records on vital signs were missing in almost one fifth of the patients.
Using this optimization method, the program runs faster by a factor of almost one fifth.
By sharp contrast, at this point in the Reagan recovery, the economy had boomed by 18.6%, almost one fifth.
Almost one fifth of Nicaragua's landmass is protected in national parks or nature reserves.
Combined the stores bring in almost one fifth of the profit for the entire DABC.
However, almost one fifth disliked the idea (n = 363; 18.1%).
Similar(39)
On any given day, almost one-fifth are absent.
Almost one-fifth of HIV-infected children with TB died during TB treatment, all of them aged 5 14.
At one point, Bangkok's SET index had lost almost one-fifth of its value.
Last year, global spending on humanitarian assistance rose to $24.5bn (pdf), an increase of almost one-fifth from 2013.
Almost one-fifth of American workers have bad jobs.
More suggestions(3)
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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