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I don’t really get the appeal to be honest. It sounds a bit dated. Cosima Larkspur is kind of a cool name though.

I first found out about Cosima on this site. It was from a BA. At first I didn’t like it because I thought it was just weird, but it grew on me. The name is beautiful, and respectable. Kind of reminds me of space too. I think of good and beautiful things when I see Cosima.

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Cosima Juliet is lovely.

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Cosima Scarlet
Cosima Helen
Cosima Olivie
Cosima Beatrix

I love Cosima! I'm kinda sad that it seems to be under appreciated / under rated.
From your list I like: Cosima Juliet & Cosima Joy. Cosima Alice & Cosima June are ok.

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Some suggestions:
Cosima Lilac (it has more spunk than Lily imo)
Cosima Violet (kinda similar to Juliet but flowery :))
Cosima Ivy (not sure about it though)
Cosima Faith (not floral, but I like it in this combo)

I love Cosima.

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Of your combinations, Cosima Juliet is really pretty.

I adore Cosima! It's baroque and regal but not unapproachable. It's also not at all "made up."

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Cosima Ruth, Cosima Alice, and Cosima June are my favorites from your list.

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Some others (matching the style of the combos you provided):

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Cosima Edith
Cosima Rachel
Cosima Violet
Cosima Claire
Cosima Jane
Cosima Helen
Cosima Lucy
Cosima Helen
Cosima Enid
Cosima Fleur
Cosima Frances
Cosima Lily

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I prefer pairing Cosima with baroque middles, e.g.:

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Cosima Fabiana
Cosima Elettra
Cosima Celestina
Cosima Raffaella
Cosima Caterina
Cosima Costanza
Cosima Ginevra
Cosima Clarice (pronounced the Italian way)
Cosima Stefania