The best replacement for karen is pam.

The best alternatives to karen are rated as following:
★★★★★  pam
★★  ivy
★★  drita
★  myrtle
★  caren
★  karenni
★  karen
★  ola
★  ivy smash
★  smogon
★  myrtle pbb
★  popuri
★  drita fight
  pam hotter
  burmese
  pam the office
  kayin
  diane
  team drita
  korina
  brandi

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Google Trends

Scale is based on the average worldwide traffic of karen in all years. Click on graph for more.
karen
pam
ivy