We do 3 gifts per child usually plus Christmas p.j.'s. and Santa does stockings. We always do a mostly handmade or second hand Christmas. I always make gifts for my brothers and sisters. I have 8 siblings but if you count in-law siblings I have I have 13. Plus 3 nieces and 3 nephews. Then I have mine and dh's parents. I wrote out the list last night and it was 27 people long!
To make all this easier I tend to do gifts in mass.