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This feels like a fictional catholic girl Character from the mid 20th century so I'll recommend as such.

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Anne Katherine *feels the most twin-ish to Mary Elizabeth*
Anna Marie or Anne Marie
Naomi Lynn, Naomi Kay
Martha Lynn, Martha Leanne
Rebecca Mae, Rebecca Judith, Rebecca
Susannah Margaret, Susannah Barbara, Susannah Bernice
Rita Kathleen, Rita Katherine
Theresa Rose, Theresa June
Joan Margaret, Joan Caroline
Bernadette Lynn, Bernadette Leanne
Clare Freida, Clare Julie

Any one of these would do:

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Dinah Louise
Barbara Lucy
Anne Cecilia
Felicity Janet
Ruth Penelope

Helen Francis
Suzanne
Laureline
Catherine Diana

Mary Margaret maybe too close so, Sarah Catherine, Anne Marie, Jane Louise or Anna Grace. Maybe Barbara Ann too.

This message was edited 8/3/2022, 12:51 AM

Mary Elizabeth and Anne Margaret, known as Molly and Peggy.

Mary Elizabeth and Martha Rose

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OR

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Mary Elizabeth and Alice Katherine

Mary Elizabeth and Julia Rebecca

Mary Elizabeth and...
Josephine
Victoria
Margaret
Beatrice
Georgina
Sarah
Eugenie
Alice
Katherine
Eleanor
Matilda

Ann Frances, Carol Anne, or Laura Louise for sure

One of these:

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Anna Catherine

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Iris Josephine

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Vera Bethany

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Ruby Margaret

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Jane Evelyn

Anna Catherine
Ruth Anna
Ruth Catherine
Anna Ruth

This message was edited 8/2/2022, 2:46 PM

Lydia Margaret

Catherine Louise just sounds like a natural fit.

Jane Louise

I don't know, what about these suggestions:
Juno Lucina
Aslaug Brynhild
Viera Morrigan
Viera Brigid
Viera Ingrid
Viera Ingeborg

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Lidice Diana

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Danica Ingeborg
Danica Magndis

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Sabina Ingrid
Sabina Ingeborg
Sabina Ingvild
Sabina Tordis / Thordis
Sabina Torgrid / Thorgrid
Sabina Torfrid / Thorfrid
Sabina Brigid
Sabina Artemis
Sabina Apollonia
Sabina Jezabel
Sabina Magndis
Sabina Isolde
Sabina Imogen
Sabina Lilith
Sabina Libusha
Sabina Ludmila
Sabina Zhiva / Živa
Sabina Zora
Sabina Rhiannon
Sabina Morwyn / Morwen
Sabina Arianrhod

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Laura Josephine

Charlotte Rose

This message was edited 8/2/2022, 11:10 AM

Probably she'd have a sister named Katherine Ann or Sarah Louise.

Lucy Alexandra

Anna Katherine

Hannah Katherine