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I pronounce Cosima as coh-SEE-mah and I think it's definitely a usable name. My first impression of a person with this name is that she is intellectual, thoughtful and very kind. And she likes classical music, for some reason... (Cosima Wagner was the wife of composer Richard Wagner.)

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I made a poll of combos with Cosima a while ago, so there are my middle name suggestions for you: http://www.behindthename.com/polls/244845