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My faves would be:

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Amelia Madeline / Angelina Mae

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Benjamin Matthew / Jacob Morgan

Two kids with the same initials could easily be a coincidence rather than a determined theme. I'll bet most folks don't even notice it, and I don't see switching things up as problematic at all. Of your lists, I best like Susannah Mae, Emelia Madeline, Benjamin or Simon to join Elisabeth and Ethan. For honoring purposes, I'd be willing to go with an "M" middle name for Benjamin or Simon but I'd really prefer another beginning sound. For me, Thomas Matthew and Jacob Mitchell sound best. I love Elliott, but if you are wanting to avoid an "E" theme, how about Matthew Elliott?

Well, I've been loving on Victoria a whole lot lately, and I think it goes beautifully with Elisabeth and Ethan. Victoria Mae or Victoria Madeline in particular are lovely. I would cast my vote against Emelia and Elliott; once you have three kids with the first initial E., it's hard to change after that.

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I think other names that work are Amelia, Susannah, Jessica (I still like it too), Benjamin, Thomas, Jacob, and Nicholas. Here are the combos I think would work best:

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Amelia Mae
Susannah Mae
Susannah Madeline
Jessica Mae

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Benjamin Mitchell
Benjamin Matthew
Thomas Morgan
Thomas Matthew
Jacob Mitchell
Jacob Morgan
Jacob Mitchell
Nicholas Matthew
Nicholas Morgan

Siblings of Elisabeth Renae and Ethan Ryan:

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Emilia Ruža "rose"
Emilie Radka "joy"
Emilie Radana
Emilie Radmila
Emilia Réka
Emilie Rhiannon
Emilie Rhonwen

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Eulalia Radka
Eulalia Radana
Eulalia Réka
Eulalia Rhiannon
Eulalia Rhonwen

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Esmé Radka
Esmé Radana
Esmé Réka
Esmé Rhiannon
Esmé Rhonwen

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Elektra Radka
Elektra Radana
Elektra Réka
Elektra Rhiannon
Elektra Rhonwen

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Ephraim Radek
Ephraim Radko
Ephraim Radim
Ephraim Radvít
Ephraim Radan
Ephraim Radúz
Ephraim Ratko
Ephraim Rostislav
Ephraim Rufus

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Egon Radek

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I like:

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Victoria Mae, Victoria Madeline
Susannah Mae
Nicholas Morgan

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I also like Amelia, Thomas and Benjamin but not with mns that begin with the letter M.

If using matching initals means you won't use your favorite names then I think it's a bad idea. I always wonder, when I come across siblings with matcing names, if their parents really used the names they loved or if they just tried to find a name that fit. I hate the idea of parents not using their favorite names in favor of using a matching name.

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I think all the names on your list fit nicely with your children's names. I actually really like the idea of a little Jessica, just because it is so unexpected. My favorite is Emelia. Emelia Mae is lovely. I like all your boy names except for Jacob. Elliott Morgan is my favorite combo. Overall, I think you have some really nice names here. Ah, I just realised that I picked the only two E names from the list as my favorites...

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I think Susannah Michelle or Susannah Mae would be really nice.

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For a boy I like Thomas Morgan, Elliott Matthew (fits in with the other E names), Simon Matthew or Nicholas Morgan

My name is Emma Rose - a good ER combination :P

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But seriously, I think it would be absolutely fine to go with different initials for this child. I don't particularly like it when the whole family is matchy-matchy, and it might mean that you end up using a name you don't even like, just to fit the pattern which is silly.

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Also, you only have 2 children with matching initials so it won't be really obvious that this one doesn't match. If you had 15 children when ER initials, and then one without, it might be a bit more of a problem.

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I like all the names you suggested, especially Amelia, Susannah, Thomas and Elliott. I think it would be nice to use Michelle as a daughter's middle name, as it is related to Michaela.

I think all those names would look just fine, not crazy in the slightest. And I bet most people won't even notice that the other siblings don't follow the "theme". It's all fine and good.