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I really like it. It's quite newly-popular in the UK but I think it's more of an underused classic. I've never even thought of Marty being a nn for it, so I don't think it's inevitable.

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I like Martha and Susan and Martha and Elizabeth "Betsy", I also like it with Eliza.

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From your combos I like Martha Emily, Martha Harriet and Martha Josephine. My favourite combo with it is Martha Lucy (although I don't actually like the name Lucy, I think it goes well here).