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I prefer Susan. In spite of the fact that it's dated as is Helen, I don't see it as frumpy, while I do find Helen very frumpy. Perhaps the latter impression is partially caused by the fact that my college sophomore roommate was named Helen and she was extremely frumpy.

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Even though Susan has fallen farther than Helen has, and even though Helen's popularity occurred longer ago than Susan's, Helen still feels more dated to me. I can see Susan on an eighteenth century woman, maybe that's why.

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As for variants, I love Susannah, whereas I only like Susan.