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I love it. I might use it as a nickname for Elspeth or as a full name with Elsie as a nickname. I think it's simple and pretty but a little more unusual than Ellie and Ella which are really common and boring.

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Elsa Miriam
Elsa Juliet
Elsa Phoebe
Elsa Jasmine
Elsa Romilly
Elsa Katherine
Elsa Naomi
Elsa Marguerite
Elsa Grace