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I think it's a great name, I love it. What about these combos:

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Ruth Angelina / Angelica
Ruth Anneliese
Ruth Olivia
Ruth Isabelle / Isabella
Ruth Phoebe
Ruth Emmeline
Ruth Emily
Ruth Estelle
Ruth Willow
Ruth Audrey
Ruth Amelia / Amelie
Ruth Anastasia
Ruth Daisy
Ruth Felicity
Ruth Guinevere
Ruth Gwendolyn
Ruth Georgiana / Georgia
Ruth Hazel
Ruth Jemima
Ruth Joanna
Ruth Josephine
Ruth Keziah
Ruth Liliana / Lillian
Ruth Zelda
Ruth Celeste
Ruth Charlotte
Ruth Eloise
Ruth Violet
Ruth Vanessa
Ruth Veronica
Ruth Bianca
Ruth Natasha / Natalia
Ruth Madeleine
Ruth Matilda
Ruth Miriam
Ruth Michaela