In the entire world, Кармаль (Karmal 
, Кармаль 
) is quite a rare gender-neutral forename. The given name Кармаль is characteristic of India, where it is a rare epicene name, Pakistan, where it is a very rare masculine name, and Nigeria, where it is a very rare mostly male, but infrequently female name. Likewise, Кармаль is the last name as well as the forename.