what do you say when somebody sneezes?

i say

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old germans said ….. helf dir Gott ….. may God help you!
Back in the day when someone was dying of the plague, one of the last symptoms was sneezing. The priests couldn't get to all the people that needed last rites, so they told the populous that they had the right to bless the person when they started sneezing...

It's just a natural bodily function

When I sneeze I say "Excuse me"
In America you’ll occasionally hear gesundheit, but “bless you” is by far more common

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