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Althea puts me to mind of a heavyset, middle-aged woman, which sounds awful but isn't really, I guess because I think of a very bubbly, friendly, heavyset, middle-aged woman.

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Althea Joy is definitely the best of your combos. I don't see Joy as being fillerish at all; that honor is reserved for Rose, Grace, and Elizabeth. I'm not wild about Althea Kate, maybe just because Kate is so overused as a fn these days. Althea Lily is rather awkward. Therre are too many Ls, I suppose.