Macaiah, a unisex appellation rooted in the Hebrew Micaiah—literally “Who is like Yahweh?”—combines biblical provenance with the phonetic transparency of its English pronunciation (/məˈkaɪə/), a factor that has contributed to its measured adoption among Anglo-American parents. Social Security Administration records indicate six instances in 2024 (rank 918), seven in 2023 (rank 922), six in 2022 (rank 937), seven in 2015 (rank 908), five in 2011 (rank 877) and five in 2008 (rank 910), demonstrating that, although usage remains infrequent and consistently below the top-900 threshold, the name exhibits a pattern of recurrent selection. Its value lies in both its semantic resonance—evocative of prophetic heritage—and its technical versatility, accommodating a unisex application without phonological or orthographic adjustment. Consequently, Macaiah occupies a distinctive niche within contemporary naming trends, appealing to those who prioritize historical depth, gender neutrality and linguistic clarity.