Due to the popularity of the saint, the name became common in the Christian world during the Middle Ages. The Normans brought it to England, where it was commonly spelled Cecily — the Latinate form Cecilia came into use in the 18th century.
This is the usual form of the name Elizabeth in Spain and Portugal, though elsewhere it is considered a parallel name, such as in France where it is used alongside Élisabeth. The name was borne by two Spanish ruling queens, including Isabel of Castile, who sponsored the explorations of Christopher Columbus.
This was the name of two ruling queens of Portugal. It was also borne by the Habsburg queen Maria Theresa (1717-1780), whose inheritance of the domains of her father, the Holy Roman emperor Charles VI, began the War of the Austrian Succession.
As an English name, it was occasionally used during the Middle Ages in honour of the Old Testament heroine. It did not become common until after the Protestant Reformation, at which time it was often spelled Susan.