ITH stands for In-The-Hoop. It's a term used in machine embroidery to imply that something is not just embroidered but actually sewn by the embroidery machine. The Doll designs at Ballyhoo Creations (faces & seams) are stitched by your embroidery machine. That's what ITH means. Once you see how easy it is - you might get hooked and rarely use your sewing machine for small projects again.