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The singular pazza nella testa and the plural pazze nella testa in the feminine and the singular pazzo nella testa and the plural pazzi nella testa in the masculine are Italian equivalents of the English phrase "crazy in the head." Context makes clear whether one (cases 1, 3) or more (examples 2, 4) of a group is considered crazy. The respective pronunciations will be "PAT-tsa NEL-la TEH-sta" or "PAT-tsey NEL-la TEH-sta" in the feminine and "PAT-tso NEL-la TEH-sta" or "PAT-tsee NEL-la TEH-sta" in the masculine in Italian.

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