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I absolutely love this name. :] I'm a bit worried about popularity, too, but I only know one person named this. I suspect she's about two or three years old.

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I prefer the spelling Matilda.

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I personally wouldn't use any nn for it. I can't think of any a the moment, either. Sorry.

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Matilda Pearl - Nice combo, but a little too classic for my tastes.
Matilda Frances - I do like this one though. Frances Matilda would be nice, as well.
Matilda Clare - Cute. Clare and Claire are quite youthful and modern sounding; it balances it out.
Matilda Sophronia - Not a fan of this one. A bit too rich.
Matilda Winifred - This one is nice. :]

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A few of mine:
Matilda Rebecca
Matilda Cecile
Matilda Eleanor (I also love Eleanor Matilda)
Matilda Azure (Not entirely sure why I like this one so much, but I like the contrast between the names)
Matilda Eileen
Matilda Celeste
Matilda Adair
Matilda Gisele