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English form of Matthias.
In 2018, 2 is the most common age for an American (U.S.) Maddox who is registered male with the Social Security Administration. It is the 2, 124th most common male first name for living U.S. citizens. In 2018, 4 is the most common age for an American (U.S.) Maddox who is registered female with the Social Security Administration. It is the 15, 765th most common female first name for living U.S. citizens.
Madeleine L'Engle used the Maddox in A Swiftly Tilting Planet, so it's not like the name was completely unheard of before 2000.
I named my daughter Maddox in March of 2001. This was before it became trendy when Angelina named her son, but I still love the name. At home she is Maddy but at school she is Maddox and I think her name sets her apart from all the Madisons and Madelines. I don't regret using the name at all, but do find my self explaining I used it before Angelina! Lol.

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