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Books aren't evidence. IRL, even if I met a Septimus who literally did have six elder brothers, I'd still think it showed a failure of imagination by the parents. And if I met a Septimus who was an only child, say, I'd regret the parents' choice. It sounds good, and of course Sextus would be impossible - Tertius happens, also Quintus and Quentin, possibly even Octavius though usually without the number meaning - but it's long enough to need a nn: Sep would be too close to Sepp (like the nasty Herr Blatter) and Seb, so there's a likelihood of confusion.

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Thinking about it, I'd prefer Sebastian. Nicer name; same length; similar vibe.