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I think Ruth is sweet. I can see a bouncy little girl or a cuddly granny with this name, and either one is all sunshine and rose petals. Plus I think potential nn's Rue and Ruthie are adorable.

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Ruth Anne (I don't know why I always liked these names together. I even like Ruthanne, it a GPish sort of way)
Ruth Regina
Ruth Estera
Ruth Astrid
Ruth Talitha / Talitha Ruth
Ruth Genevieve
Ruth Clarissa
Ruth Zenaida
Ruth Malina
Ruth Ava
Ruth Ivana
Ruth Germaine
Ruth Abital / Abital Ruth
Lalia Ruth
Roxana Ruth
Hilda Ruth
Zella Ruth
Hecate Ruth
Vivienne Ruth