They are not related except both are in the Human Family- of the Holiday spirit- reluctantly and belatedly accepted by Scrooge. Tiny Tim is the son of Bob Cratchit, an employee of Scrooge, he is not related to the businessman.
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When he sees the sick little bot Scooge feels for him and the way that Tiny Tim tries to be positive despite his illness. He feels great concern when the Ghost of Christmas Present tells him that he (the Ghost ) foresees an empty seat by the fire and a lone crutch against the wall be the next Christmas Later when taken back to the Crachit house by the Chost of Christmas Yet To Come Tiny Tim is dead and teh famly moan. This impacts on Scrooge. Thereafter Scrooge helps to care for Tim and acts like an uncle to him
He imeadiatley takes to the young ill child seeking out from the Ghost what will happen to the boy and is shocked to hear that the ghost does not see tiny tim in the next christmas, meaning of course the the boy is to die
He wants to know based on what he saw would Tiny Tim live much longer. The ghost tells him that in the future he (the ghost ) sees an empty chair by the fire. This is to mean that Tiny Tim was to soon die.
He isn't a blood relation to Scrooge, but the son of Scrooge's secretary Bob Cratchitt. He is paraplegic and of poor health, only being able to walk with the aid of crutches.
During his visitation by the Spirit of Christmas to Come, Scrooge is shown that he has the power to save Tiny Tim's life by paying for his medical bills, but if he fails, the child will die. Scrooge sees a vision of Tim lying dead in his bed, with Bob Cratchitt in tears and Mrs. Cratchitt cursing Scrooge for refusing to help out.
After reforming, Scrooge does indeed help Tim to become well and strong again by doubling Cratchitt's salary and paying for the medical treatment the child needs.
Scrooge asks the spirit if Tiny Tim will live, and the spirit responds by saying, "I see a vacant seat in the poor chimney corner, and a crutch without an owner, carefully preserved." This implies that Tiny Tim will die unless the future changes.
He saw a young boy who was ill yet tried to be positive - he felt empathy for the boy as he (Scrooge) had been abandonded by his father in a boarding school for many years
Scrooge sees that to y Tim is I!l yet is so positive. This emotionally upsets Scrooge
He treats Tiny Tim very well after meeting the spirits. He treated him as a son.