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My family is full of multiples including myself so I really don't think much about the similar names that have been given. My brother and I have first names that start with the same letter - John and Justin (even though we go by Johnny & Sammy - his middle name). Our older brother and his wife have triplets with very different names - Joshua Alan, Anna Jane, and Niklas Avery and their little sister Nicole Dakota really has a closer name to Niklas than the triplets have. I have twin boys that have similar names but different enough to be ok - Markus Paul and Mattias Petr and we call them Mark and Matt. I think names that are similar to the extreme such as Nick and Nikki aren't good and only confusing but names like Mark and Matt are good names.