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    1. -gem just means „house of“ or „place of residence“. A cognate of the German „-heim“. It’s common in the old Brabant (which includes large parts of Oost-Vlaanderen), and some in the old Flanders as well. „-kem“ is a similar suffix.

      It’s just a remnant of how language used to be distributed in the are.

      Also: https://www.dbnl.org/tekst/_naa002198701_01/_naa002198701_01_0007.php

    2. Zottegem, Berchem, Middelheim, Latem, Bornem these towns all have a suffix related to -heim. Some are written -gem, some -chem, some just -em. Perhaps some slight shift in ‚g‘ sound appeared in east-flanders.

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