Throughout the world, Puzzo (Puzzo 
) is a very rare primarily female, but scarcely boy's forename. The first name Puzzo is characteristic of Southern Europe, particularly Italy, where it is a rare predominantly feminine, but scarcely masculine name. Much more frequently, Puzzo is the last name as well as the forename.
| VARIANT | COUNTRY |
|---|---|
| Puzzo | Germany, Italy, United States, Argentina, France |