Sono molto stanca! and Sono molto stanco! are Italian equivalents of the English phrase "I am very tired!" Context makes clear whether feminine (case 1) or masculine (example 2) gender suits. The respective pronunciations will be "SO-no MOL-to STAN-ka" in the feminine and "SO-no MOL-to STAN-ko" in the masculine in Pisan Italian.
Sono molto stanco in Italian means "I'm very tired" in English.
"Very" in English means molto in Italian.
"Very funny!" in English is Molto divertente! in Italian.
"We are very beautiful!" in English is Siamo bellissime!in Italian.
Molto in Italian means "very" in English.
Fortissimo in Italian is "very strong" in English.
"Very handsome" in English means molto bello in Italian.
"You are very kind!" in English is Sei molto gentile! in Italian.
"I am very sorry!" in English is Sono molto spiacente! in Italian.
"Very well!" in English means Molto bene! in Italian.
"Very slow" in English means molto lento in Italian.
"It was very delicious!" in English is Era molto delizioso! in Italian.