The phrase "almost only with" is correct and usable in written English.
It can be used to indicate that something is primarily or predominantly associated with something else, but not exclusively.
Example: "The project was completed almost only with the help of volunteers."
Alternatives: "mainly with" or "primarily with".
In the group of children examined, those born in 2001 were vaccinated almost only (89.2%%) with thimerosal-free vaccines, while those born in 2002 2004 with TCV (96.8 %) in the neonatal period.
With adalimumab, radiographic progression occurred almost only among patients with baseline CRP ≥1.0 mg/dl, and was never as great as in the most severe cases observed with placebo.
This intervention is particularly suited to exemplify this approach given that anticoagulants are associated with bleeding episodes as their major (and almost only) complication and with a palpable benefit, namely prevention of thrombosis.
A wooden board covered the tub almost entirely with only a slit (33 × 7 cm) at the opposite end of where the basket was placed remaining open.
"TECHNODLUV" because it's an unusual track made with almost only all drum sounds.
We've provided you with (almost only) recipes that would take an hour, max, of your time.
Durable responses were almost only observed in patients with Eastern Cooperative Oncology Group (ECOG) 0 1 performance status and pulmonary, lymph-node and subcutaneous metastases (M1a and M1b) [25].
Open and disturbed soils are today almost only restricted to agricultural fields with high loads of fertilizers.
Pit shape, depth and distribution impacted little on the ultimate load of tensile samples, the ultimate strength almost correlated only with the maximum cross-sectional area.
However, while waiting for MET, Power Sentry reconsidered giving us our one year of exclusive lead on surge protector PowerSquid sales, and decided to develop their own models of surge protectors, copying our design almost exactly, only with five cords.
