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As given names, it's a big yuck on all four.

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As nicknames, any of them is fine.

I really like Millie, but I’m afraid it can’t stand on its own. Camille or Camilla could work as a full name.

Millie and Tilly as a nn for Matilda

Millie is better than Milly. While Tilly is better than Tillie. Millie can be short for Émilie or Milana but I don't know what Tilly can be short for...

These names are very rare where I live. I know one Millie who is 92 years old, and that's all. In her case it's short for Mildred (which I love).

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I like Tilly with a Y, and Millie with an ie, I'm not sure why. But I like them both, Tilly slightly more.

I like them both and think they’re very cute. All the spellings look fine to me but I do prefer the ie spellings. Imo Millie/Milly works well as a standalone name but Tillie/Tilly should be short for something.

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Marilla & Amaryllis could be fn for Millie/Milly. For Tillie/Tilly, Otillie or Tilda, maybe Twila?

I know a Matilda who is sometimes called Tils by her family

As a teacher in the UK I'm tired of them both. Most kids I teach have these as full names.

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I won't repeat knes TMyers said.

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Emilia
Melanthe
Mary (Molly is a derivative, so perhaps Milly)
Milana

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Talia
Natalie

Full names for Millie...

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Milena*
Camilla
Milagros
Romilly*
Romilda
Amelia

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Full names for Tillie...

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Ottilie
Clotilde
Chantilly*
Quintilla

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I only like Millie and Tillie as nicknames. I like full formal names.