I have adopted the use of italics to denote internal monologue.

A reviewer suggested that I italicize a word of spoken dialog to denote emphasis:

"What… what in the Sam Hill is that?"

I know this is ultimately a question of style. Is it common to use italics for both purposes in a given work?


yes, it's fine. It's obvious which is which in context.

Separately, if you want to emphasize something in internal monologue which is already italics, the usual convention is that the word is in roman/book (that is, the opposite of italic). I have seen bold italic used, but rarely.

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