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The different names and voices of Elmo across the globe. In most countries, Elmo only appears in inserts, and is dubbed by local actors. However, Takalani Sesame, Galli Galli Sim Sim, 5, Rue Sésame and the Japanese co-production have their own Elmo puppets and puppeteers, as trained by Kevin Clash. When initially introduced in Germany as a fairly minor character, Elmo was treated as a female monster, and re-named "Elma." This was changed in 2000.