Purpose: Vocalization development has not been studied thoroughly in infants with early-identified hearing loss who receive hearing aids in the 1 st year of life. This study sought to evaluate the relationship between auditory sensitivity and prelinguistic vocalization patterns in infants during the babbling stage. Method: Spontaneous vocalizations of 15 early-identified infants with varying degrees of hearing sensitivity, from normal to profound hearing loss, were audiotaped and perceptually transcribed. Associations between the infant's unaided pure-tone average and the following vocalizations were explored: canonical babbling ratio, percentage of utterances containing canonical syllables, canonical syllable shapes, number of syllable sequences, and consonant-onset patterns in canonical syllables. Results: Hearing sensitivity was significantly associated with the percentage of utterances containing canonical syllables, the vocalization types used in utterances, and canonical syllable shapes used by the infants. Conclusions: Auditory sensitivity contributes significantly to the emergence of babbling patterns. In addition, there is a need for continued study of the vocalizations of infants with milder forms of hearing loss, because in this study, their vocalizations were highly variable despite having received early amplification.