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I struggle with multiple middles and I'm not well-versed on the types of names you're drawn to, but I'll try...

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Elena Raffaela Maret or Elena Maret Raphaelle
Elena Margit Isolde (Margit: http://www.nordicnames.de/Aussprache.html)

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Karina Thyra Lisbeth (LEES-bet)
Karina Henriette Liesel

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Otto Konstantin Berlioz
Otto Fitzwilliam Lennart

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Karl Maksim Johannes
Karl Austustine Toomas

Otto Samuel Antony
Otto Frederick Francis
Otto Benedict Louis
Otto Damian Benedict

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Karl Sasha Louis
Karl Henry Frederick
Karl Oliver Anton
Karl Marcus Gideon

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Elena Saskia Margot
Elena Iris Marianne
Elena Grace Patricia
Elena Sylvie Caroline
Elena Maeva Julie

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Karina Margriet Elise
Karina Beatrice Louise
Karina Alix Theodora
Karina Frances Feodora

Elena Beatrice Augusta
Elena Freya Brigitte
Elena Katarine Eudora
Elena Lillian Sabine
Elena Iris Mathilde
Elena Sybil Grace
Elena Bronwen Lieselotte

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Karina Wilhelmina Adeline
Karina Dorothea Edith
Karina Ruth Valeska
Karina Emilia Berenice
Karina Elisabeth Evelina
Karina Aliz Tova
Karina Elisheva Amalia

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Otto Tobias Rupert
Otto Magnus Amadeo
Otto Manuel Cristiano
Otto Lorenzo Charles
Otto Edmund Percival
Otto Valentin Ernesto

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How about:

Elena Kay Julia
Elena Maria Penelope
Elena Mia Adelaide
Elena Paige Daria
Elena Ria Josephine
Elena Sofia Kai
Elena Tatiana Mae
Elena Tori Lenore
Elena Zoe Katrin
Elena Zora Willhelmina

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Karina Bess Amelie
Karina Eleri Matea
Karina Eve Magdalena
Karina Jolan Mae
Karina Livia Minea
Karina Marta Hero
Karina Olivera Bryn
Karina Sage Leonarda
Karina Vida Leonore
Karina Zoya Wren

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Otto Branimir Karl

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Elena Lucia Britt
Elena Josephina Vera
Elena Rose Beatriz

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Karina Astrid Elvi
Karina Linnea Margo
Karina Ottilia Liis

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Otto Aleksander Felix
Otto Matthias Finn
Otto Johannes Leo

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Karl Ivan Jasper
Karl Tomas Emil
Karl Oscar Milo

ok, with those stipulations I'm gonna go crazy here!

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ELENA -

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Elena Loren Birgit
Elena Clara Dagrun
Elena Maike Aveline
Elena Claude Tsvetanka
Elena Hania Cyra
Elena Zuzanna Lore
Elena Thorild Marieke
Elena Runa Lenore
Elena Mariette Magdalen
Elena Febe Lutgardis
Elena Klara Evaline
Elena Petya Henrike
Elena Alexandra Stoyanka
Elena Fredrika Elisabeth
Elena Annis Dusana
Elena Nadia Therese
Elena Avis Ionela
Elena Lovisa Corinne
Elena Eha Annelie
Elena Marit Neske

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