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Pamela & Patricia
Katherine & Kathleen
Anita & Anna
Chelsea & Chastity
Jessica & Julia
Deborah & Donna
Mariah & Mary
Lisa & Linda

I'm not so crazy about the same-letter thing myself, but if you insist:
Adena and Alessandra
Elizabeth and Eve
Rhiannon and Rose
Catherine and Cassandra
Julia and Jillian
Daria and Dana
I myself would go for a theme:
Shakespearean: Ophelia, Juliet, Miranda, Cordelia, Beatrice, Portia, Helena, Katherine(Katharina), Olivia
Flowers: Rose, Ivy, Violet(Viola), Lily(Lillian, Lillith), Daisy....
Biblical: Leah, Rachel, Sarah, Rebecca, Adah, Ruth, Naomi, Zillah

If you truly want their names to start with the same letter how about
Stephanie and Sarah-together they would mean CROWN PRINCESS!!!

how about Jenny and Jemma or Sarah and Stephanie (Steph)

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Since you like Adelaide and Allegra (I agree with these people, it is a medication) try:

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Adeline or Adelina & Allegria (Better then Allegra)

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For Samantha or Sara I would also suggest:

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Samasia (I knew a nice girl named that) & SARIAH or Jasara

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i came up w/ more good ones! woohoo!

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How about:

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Malaika and Makaila (variant of Michaela)

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They both have ANGEL in common!

I personally don't care about twin names with the same letter. They are going to share the same birthday and (sometimes) pretty much the same looks - they don't need the same initials. But that's just my opinion... If you insist, why don't you try Devi and Diana (they both mean divine, but Diana is Latin and Devi - sanskrit)

Dalia and Daphne

Well I have to say...

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I'm a bit partial to the name Sara. That's my name, except it's Sarah. We added the Jeanne on a while ago to tell me apart from the other Sarah's that post here. Jeanne is my middle name. I like Sarah and Samantha. Or what about Sarah and Sadie? I think Sadie is a pet name for Sarah, so they would both mean lady or princess, which little girls love, trust me. I'm 20, and I LOVE that my name means princess. I have something to live up to. :) Just my opinion. Good luck.
Princess Sarah

Okay!

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Give me your own first & middle names, as well as the first & middle names of the babies' father.

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I'll see if I can 'gram a set of twins' names for you.

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-- Nanaea

What about Hannah and Grace, they both mean GRACE!

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Sabrina

These two names don't start with the same letter but have the same kind of sound and are yet different. Ava and Eve. They're both versions of Chava (the original form of Eve, Eva would be too similar to Ava though) but these two sound okay. Plus you can use Evie as a nickname for one of them! They are both pretty, relatively uncommon
(Ava is for sure and Eve is well as far as I know, at least nowadays, but it's a classic name) and palindromic too! I know if I ever had twin girls I would consider these two names. I think
Eve Alexandra and Ava Elizabeth are beautiful names (plus the initials are a reversal of each other, another good commonality for twins names to have!) :)

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I'd have to agree to leave Allegra off the list, it IS a type of medication. I personally don't care for names like Tammy (I don't think it's ever a good idea to use an abbriviation as a first name), Kaleigh and Kaitlyn, but it's all a matter of personal choice.
Happy decision making!

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Leah :) :) :)

How about these

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-Alyssa and Dahlia ( they're both the names of flowers and you could call Dahlia, Lia for short, I think the nicknames Lia and Lyssa are cute!)

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-Nadia and Natasha ( these names are both Russian, pretty, and they kinda have something in common, Nadia means "Hope" and Natasha is associated with Christmas, a season of Hope.

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Hope I've helped!

No, no, no, baby! Same letter twins went out with the Chia Pet! Go for same meaning or style...see Mike C.'s list.

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Chuh chuh chuh Chia!

Here's some suggestions for ya!

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Melina and Melissa- Melina means "Honey" and Melissa means "Bee" and they are both Greek names. This should be added to the twin names section here.

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Erica and Leah- These names both mean "ruler" in some way.

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The suggestion here on this site for Cara and Mia together to mean "my beloved" is gorgeous and so meaningful!

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Pamela and Patreecia
Jentrie and Jenson
Juia and one of the above 2 names
Colleen and Caroline
Kaleigh and Kolleen

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I like Kaleigh and Colleen but am not crazy about any of the other ones and definitely not Alegra(sounds like medicine).