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It's a very lovely name that I think is deserving of a comeback. I don't think I would use it because there was a very crotchety old Aunt Ruth in my family that hated my dad. :/ The name is very nice, though, and it does have a graceful and understated feel to it.

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Ruth Adeline -- Nice, but I think I prefer Adeline Ruth
Ruth Ellen -- Meh. I've never really liked Ellen.
Ruth Eliza -- This is lovely! Either Ruth Eliza or Eliza Ruth would be very sweet.
Ruth Emily* -- I love this. Emily is a great name... in the MN spot.
Ruth Emmaline -- I'd use Emmeline over Emmaline, but this is graceful and sweet.
Ruth Keturah -- Not sure I like the flow on this one, for some reason.
Ruth Susannah -- Ditto. I think it's the double "oo" sound that bothers me.