Cool name. I know a Dutch guy called Ruth and his name does stand out, but he said he liked it because everyone thinks he's cool.
― Anonymous User 12/17/2015
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The use of "Ruth" for someone masculine would be neoteric, controversial, and even avant-garde. In our time it is becoming more popular for people to name female children with traditionally masculine names, although less so the opposite way, so far. The name "Ruth" would be a suitable starting point since it has existed briefly before in history as a masculine name, and it has also now passed its prime as a female name. Ignoring its feminine connotations due to its immense popularity for female people, the name also does sound quite (traditionally) masculine, being a rough-sounding, single-syllabic word. However, this detail should not really matter since the purpose of using a feminine name for a male person is to be progressive and to defy gender norms, including the outdated stigma that male people must be masculine.