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My instinct is to pronounce the name as care-uh. Perhaps it's because of my accent (Midwestern United States), but if I pronounce it car-rah then it sounds weak and affected coming from me.

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Even with the care-uh pronunciation, I'd still spell it Kara. Not that I'm likely to use the name in real life, anyway...

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www.behindthename.com/pnl/69381
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