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My biggest associations are Amelia Earhart, the pilot, and Amelia Bedelia, the kids' book character known for taking expressions too literally.
I dislike it, I hate the vowel ə in the first syllable. I love the English pronunciation of Emilia, though, and Amalia, which I would pronounce a-MAL-ee-ə. I also think the nickname Amy sounds like it belongs in the older generations - I know a lot of middle-aged Amys.
For middle names, I think Jane, Kathleen, and Marie. For siblings, Penelope and Conrad.