Autonomous ships represent an emerging paradigm within the maritime sector, poised to bring multiple advantages. Although numerous prototypes have been developed, the deployment of large autonomous ships has predominantly remained confined to domestic waters or specialized military applications. The extensive adoption of autonomous ships is hampered by several challenges, primarily centered around safety. However, the direct assessment of autonomous technologies on large-scale vessels can be very costly. Small-scale autonomy testing may provide a cheaper option. This study reviews the current small autonomous ship models used by maritime researchers and industry practitioners. It aims to evaluate how these autonomous models currently augment and can augment safety assurances on larger autonomous ships. The review identifies relevant very small Unmanned Surface Vessels (USVs), the main research groups behind them and their applications. Then, the current use of USVs for safety and safety assurance is analyzed. Finally, the paper suggests innovative strategies and research directions for using USVs for the safety assurance of larger autonomous ships.