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I can't say I don't like it, and I wouldn't mind seeing it on someone else's child. It's certainly not ugly, nor is it horrific, but I consider it one of those 'anti-names' (like Olga, Hortense, Ludwig, etc...names that no one else would think of giving their child, but really make charming names once used). It's certainly different and for that, I give it a thumbs up plus some brownie points.

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As for the spelling, I prefer the first one. I like the Mehitabel pronunciation better than the Mehetabel one.

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In regards to Mabel as a nickname, I'm not too sure that I like it. I love the name Mabel, but if you're going to use something as fabulous as Mehitabel, I wouldn't cover it up by a name that's a name in it's own right, like Mabel. If I had to choose a nickname for Mehitabel, I'd choose Mitzi. It's loads of cute.

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A bit of useless information: Mehitabel was a character in the 1946 movie Sentimental Journey starring Maureen O'Hara as a terminally ill actress that doesn't have long to live. She takes a walk one day and comes across a little orphan girl named Mehitabel (but she's called Hitty) and is completely taken with her and falls in love with her instantly. Because she loves Hitty and knows that she deserves a good home, Maureen O'Hara's character adopts her. She knows that she only has a short time to live, but she hopes that once she dies that Hitty will help her husband cope with her death and not grieve too badly. It's such a tearjerker. But I think the character of Hitty has definitely warmed me to the name Mehitabel.