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The h in what was originally Antonius is a false etymology: someone thought that it was derived from anthos = flower. Since its actual origin is unknown, this has stayed. To non-Americans, Anthony-with-a-th sounds ludicrous, like pronouncing the k- in knowledge. I know a man named Ian Antony, here in South Africa. His mother insisted on that spelling because she didn't want to take the risk of people using the American pronunciation. People tried to point out that the number of times his full name would actually be said out loud by anyone was probably less than ten, but she was determined! I would certainly use the -t- spelling (and therefore pronunciation) if I were using it as a first name, but for a mn I'd probably stick with the non-US version.

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1: Anton
2 Anthony
3 Antonio