This article compares variation in the use of address practices across languages (Swedish,
Finnish) and national varieties (Sweden Swedish, Finland Swedish). It undertakes quantitative and qualitative
analyses of three sets of transcribed medical consultations. In Sweden Swedish, address pronouns which lower
social distance overwhelmingly dominate. In Finnish, both address forms reducing social distance and practices
maintaining greater distance are found, with age and level of acquaintance revealed as the most salient
factors. Finland Swedish is located somewhere between Sweden Swedish and Finnish, displaying a stronger
tendency than Finnish to use informal direct address forms to reduce social distance, but also showing
similarities with Finnish in the use of direct formal address and indirect address. The differences can be
related to larger socio-cultural patterns which, however, form a continuum rather than a fixed set keeping the
two languages and countries completely apart.