diff --git a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/dutch/DutchBuildingBlocks.java b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/dutch/DutchBuildingBlocks.java
index 4e0f943..52e9a80 100644
--- a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/dutch/DutchBuildingBlocks.java
+++ b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/dutch/DutchBuildingBlocks.java
@@ -36,10 +36,10 @@ public String fromIso(Iso8601Age ppktAge) {
             components.add(String.format("%d %s", y, years(y)));
         }
         if (m > 0) {
-            components.add(String.format("%d %s", m, months(y)));
+            components.add(String.format("%d %s", m, months(m)));
         }
         if (d > 0) {
-            components.add(String.format("%d %s", d, days(y)));
+            components.add(String.format("%d %s", d, days(d)));
         }
         return String.join(" ", components);
     }
@@ -80,7 +80,7 @@ public String yearsMonthsDaysOld(int y, int m, int d) {
         } else if (d==0) {
             return String.format("%d jaar en %d maand oud", y,  m);
         } else if (d==1){
-            return String.format("%d maand en %d dag oud", y,  d);
+            return String.format("%d jaar, %d maand en %d dag oud", y, m,  d);
         } else
         return String.format("%d jaar, %d maand en %d dagen oud", y, m, d);
     }
diff --git a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/english/EnglishBuildingBlocks.java b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/english/EnglishBuildingBlocks.java
index 82abffa..f8f6f5d 100644
--- a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/english/EnglishBuildingBlocks.java
+++ b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/english/EnglishBuildingBlocks.java
@@ -36,10 +36,10 @@ public String fromIso(Iso8601Age ppktAge) {
             components.add(String.format("%d %s", y, years(y)));
         }
         if (m > 0) {
-            components.add(String.format("%d %s", m, months(y)));
+            components.add(String.format("%d %s", m, months(m)));
         }
         if (d > 0) {
-            components.add(String.format("%d %s", d, days(y)));
+            components.add(String.format("%d %s", d, days(d)));
         }
         return String.join(" ", components);
     }
diff --git a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/GermanBuildingBlocks.java b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/GermanBuildingBlocks.java
index 20755cb..fb2e2eb 100644
--- a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/GermanBuildingBlocks.java
+++ b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/GermanBuildingBlocks.java
@@ -141,17 +141,17 @@ public String child() {
 
     @Override
     public String adolescentGirl() {
-        return "";
+        return "Jugendliche";
     }
 
     @Override
     public String adolescentBoy() {
-        return "";
+        return "Jugendlicher";
     }
 
     @Override
     public String adolescentChild() {
-        return "";
+        return "Jugendlicher";
     }
 
     @Override
diff --git a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/PpktIndividualGerman.java b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/PpktIndividualGerman.java
index 6c1a084..0814f7b 100644
--- a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/PpktIndividualGerman.java
+++ b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/german/PpktIndividualGerman.java
@@ -201,11 +201,14 @@ private String imAlterVonIsoAgeExact(PhenopacketAge ppktAge) {
                 return String.format("Im Alter von %d %s", y, y>1?"Jahren" : "Jahr");
             }
         }
-        if (m>0) {
-            return String.format("Im Alter von %d %s y %d %s", m,  m>1?"Monaten" : "Monat",
+        if (m>0 && d>0) {
+            return String.format("Im Alter von %d %s und %d %s", m,  m>1?"Monaten" : "Monat",
                     d,  d>1?"Tagen" : "Tag");
-        } else {
-            return String.format("%d Tage",  d);
+        } else if (m>0 && d==0) {
+            return String.format("Im Alter von %d %s",  m,  m>1?"Monaten" : "Monat");
+        }
+        else {
+            return String.format("Im Alter von %d %s",  d, d>1?"Tagen" : "Tag");
         }
      }
 
@@ -227,24 +230,24 @@ private String iso8601individualDescription(PhenopacketSex psex, Iso8601Age iso8
             };
         } else if (y > 9) {
             return switch (psex) {
-                case FEMALE -> String.format("%s %s %s", bbGenerator.probandWasA(),
+                case FEMALE -> String.format("%s eine %s %s", bbGenerator.probandWasA(),
                         dAlter(iso8601Age, GrammatikalischesGeschlecht.WEIBLICH),
                         bbGenerator.adolescentGirl());
-                case MALE -> String.format("%s %s %s", bbGenerator.probandWasA(),
+                case MALE -> String.format("%s ein %s %s", bbGenerator.probandWasA(),
                         dAlter(iso8601Age, GrammatikalischesGeschlecht.MAENNLICH),
                         bbGenerator.adolescentBoy());
-                default -> String.format("%s %s %s", bbGenerator.probandWasA(),
+                default -> String.format("%s ein %s %s", bbGenerator.probandWasA(),
                         dAlter(iso8601Age, GrammatikalischesGeschlecht.NEUTRUM),  bbGenerator.adolescentChild());
             };
         } else if (y > 0) {
             return switch (psex) {
-                case FEMALE -> String.format("%s %s %s", bbGenerator.probandWasA(),
+                case FEMALE -> String.format("%s ein %s %s", bbGenerator.probandWasA(),
                         dAlter(iso8601Age, GrammatikalischesGeschlecht.NEUTRUM), // "das Mädchen"
                         bbGenerator.girl());
                 case MALE -> String.format("%s ein %s %s", bbGenerator.probandWasA(),
                         dAlter(iso8601Age, GrammatikalischesGeschlecht.MAENNLICH),
                         bbGenerator.boy());
-                default -> String.format("%s %s %s", bbGenerator.probandWasA(),
+                default -> String.format("%s ein %s %s", bbGenerator.probandWasA(),
                         dAlter(iso8601Age, GrammatikalischesGeschlecht.NEUTRUM), // Das Individuum
                         bbGenerator.child());
             };
@@ -300,7 +303,7 @@ private String dAlter(Iso8601Age iso8601Age, GrammatikalischesGeschlecht geschle
         return switch (geschlecht) {
             case MAENNLICH -> String.format("%s alter", ymd);
             case WEIBLICH -> String.format("%s alte", ymd);
-            case NEUTRUM -> String.format("%s alte", ymd);
+            case NEUTRUM -> String.format("%s altes", ymd);
             //TODO: check this is OK. "alte" in the examples I have seen always refers to "die Person", which is feminine, e.g. "46 Jahre alte erwachsene Person", not "altes"
         };
     }
diff --git a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/ItalianPromptGenerator.java b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/ItalianPromptGenerator.java
index 28a8a0f..1dc83b1 100644
--- a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/ItalianPromptGenerator.java
+++ b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/ItalianPromptGenerator.java
@@ -56,8 +56,8 @@ public String getVignetteAtAge(PhenopacketAge page, PhenopacketSex psex, List<On
     @Override
     public  String getVignetteAtOnset(PpktIndividual individual){
         String person = switch (individual.getSex()) {
-            case MALE -> "Lui";
-            case FEMALE -> "Lei";
+            case MALE -> "Il paziente";
+            case FEMALE -> "La paziente";
             default -> "La persona";
         };
         return this.ppktPhenotypicFeatureGenerator.featuresAtOnset(person, individual.getPhenotypicFeaturesAtOnset());
diff --git a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalian.java b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalian.java
index 1e9a8de..ff55a59 100644
--- a/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalian.java
+++ b/src/main/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalian.java
@@ -144,10 +144,15 @@ private String atIsoAgeExact(PhenopacketAge ppktAge) {
             } else {
                 return String.format("%d anni", y);
             }
-        } else if (m>0) {
+        } else if (m>0 && d>0) {
             return String.format("%d mesi e %d giorni", m, d);
         } else {
-            return String.format("%d giorni",  d);
+            if (m>0 && d==0) {
+                return String.format("%d mesi", m);
+            }
+            else {
+                return String.format("%d giorni", d);
+            }
         }
     }
 
@@ -272,8 +277,8 @@ private String hpoOnsetIndividualDescription(PhenopacketSex psex, HpoOnsetAge hp
     @Override
     public String heSheIndividual(PhenopacketSex psex) {
         return switch (psex) {
-            case FEMALE -> "lei";
-            case MALE -> "lui";
+            case FEMALE -> "la paziente";
+            case MALE -> "il paziente";
             default -> "il soggetto";
         };
     }
diff --git a/src/test/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalianTest.java b/src/test/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalianTest.java
index bcdbb18..d2d4667 100644
--- a/src/test/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalianTest.java
+++ b/src/test/java/org/monarchinitiative/phenopacket2prompt/output/impl/italian/PpktIndividualItalianTest.java
@@ -56,9 +56,9 @@ void testEvaluateExpression(TestIndividual testCase) {
     private static Stream<TestIdvlHeShe> testGetPPKtSex() {
         return Stream.of(
                 new TestIdvlHeShe("female",
-                        PhenopacketSex.FEMALE, new TestOutcome.Ok("lei")),
+                        PhenopacketSex.FEMALE, new TestOutcome.Ok("la paziente")),
                 new TestIdvlHeShe("male",
-                        PhenopacketSex.MALE, new TestOutcome.Ok("lui")),
+                        PhenopacketSex.MALE, new TestOutcome.Ok("il paziente")),
                 new TestIdvlHeShe("proband",
                         PhenopacketSex.UNKNOWN, new TestOutcome.Ok("il soggetto"))
         );