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I prefer it as a nickname for Madeline or Maddalena, unless the bearer is a pioneer woman. Maddie and Mattie both have a folksy, olden days appeal that I appreciate in the right setting. I agree with Rox and Wordsmith that it's one of those neo-frontier names that have now become synonymous with spoiled pre-teens, all the folksiness is sadly gone.

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I once read a book when I was a kid with a vampire character called Maddie, short for Madder. That always stayed with me.