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I like it. It's underused, and it lends itself to a variety of possible nicknames, my favorite of which are Rose and Annie. It's also fine without a nickname.

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Combos:
Rosanna Claire
Rosanna Jane
Rosanna Judith
Rosanna June
Rosanna Elspeth
Rosanna Laurel
Rosanna Laure
Rosanna Lorraine
Rosanna Delphine
Rosanna April
Rosanna May / Mae
Rosanna Maeve
Rosanna Pearl
Rosanna Christine
Rosanna Guinevere
Rosanna Patience
Rosanna Constance
Rosanna Lydie
Rosanna Lily
Rosanna Lilith
Rosanna Maren
Rosanna Mary
Rosanna Maren
Rosanna Miren
Rosanna Miriam
Rosanna Florence
Rosanna Paulette
Rosanna Pauline
Rosanna Charlotte
Rosanna Caroline
Rosanna Coralie
Rosanna Colleen
Rosanna Beth
Rosanna Phoebe
Rosanna Edith
Rosanna Margo / Margot
Rosanna Marguerite
Rosanna Mairead

I too have been loving Rosanna as of late (though I do tend to like just about any "Rose" name). My current combo crush is Rosanna Jordan.

It's ok... I prefer Roxana, but I do like that Rosanna's not overused and is kinda pretty. Just plain Rosa is nice as well.

When i was younger i had a friend called Rosanna, I really like it anyway :)

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Rosanna Isobel
Rosanna Maria
Rosanna Lola...actually....Lola Rosanna?
Rosanna Astrid
Rosanna Amelia
Rosanna Caroline
Rosanna Frances