[2] Since the late 1990s the soprillo, an even smaller piccolo saxophone tuned in B♭ a fifth above the sopranino, was developed by the German instrument maker Benedikt Eppelsheim.

Sounding a minor third higher than written, like an E♭ clarinet or soprano cornet, this range corresponds to D♭4 to A♭6 in concert pitch.

In classical music, the most notable use of the sopranino saxophone is in French composer Maurice Ravel's orchestral work Boléro.

Saxophonist Blaise Garza plays a sopranino in the Violent Femmes' 2019 song "I'm Not Gonna Cry".

[7] Outside of classical and rock music, notable jazz and improvising musicians using this instrument include Carla Marciano, James Carter, Anthony Braxton, La Monte Young, Roscoe Mitchell, Christophe Monniot, Joseph Jarman, Paul McCandless, Lol Coxhill, Roger Frampton, Hans Koller,[citation needed] Wolfgang Fuchs, Douglas Ewart, Larry Ochs, Vinny Golia, Thomas Chapin, Martin Archer, Jon Irabagon,[8] Massimo Falascone, Gianni Gebbia, and Ian Anderson (credited with having played the instrument on the Jethro Tull albums A Passion Play and War Child).