A hose bib handle replacement comprises a handle portion and an adapter. The adapter has a wall defining an open interior sized to receive a portion of a hose bib. The handle portion is attached or attachable to the top surface of the adapter and has a radial dimension larger than the adapter. The adapter comprises a clamping mechanism adapted to clamp onto the portion of the hose bib in the interior, wherein the clamping mechanism can clamp onto different size and shape portions of the hose bib. In one version, the clamping mechanism comprises a plurality of set screws and wherein the set screws have a length where they can clamp different size and shape portions of the hose bib and when clamped do not extend outwardly beyond the wall of the adapter more than about 0.25 inches.