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It was my fave name for about 10 years, until my niece was born and given this name! I still love it, even though it's super popular here in Australia. My fave combo is Ruby Mae, but I also love Ruby Isabella (my niece), Ruby Katherine, Ruby Stella, Ruby Esther, Ruby Louisa, Ruby Hannah, Ruby Elizabeth, Ruby Jemima, Ruby Freya, Ruby Annabelle, Ruby Clara, Ruby Matilda, Ruby Martha and Ruby Miriam. I think the name is definitely usable.