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I pronounce Cosima as cos-ee-mah.

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I don't live in the US, but I would use it here in Australia, so I think it is definitely usable in the US.

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I like these - Cosima/Cosima - combinations:
Cosima Arianwen
Cosima Beatrice
Cosima Belphoebe
Cosima Bluebell
Cosima Elizabeth
Cosima Elowen
Cosima Emmeline
Cosima Frances
Cosima Ivy
Cosima Jessamine
Cosima Josephine
Cosima Melisande
Cosima Olive
Cosima Ottoline
Cosima Violet

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Charlotte Cosima
Edith Cosima
Imogen Cosima
Jessamine Cosima
Josephine Cosima
Mary Cosima
Maud Cosima
Olive Cosima
Ottoline Cosima
Violet Cosima