A spelling variant of Ezra, from Hebrew meaning "help" or "helper."
Ezrah is generally treated as a modern English variant of Ezra, the ancient Hebrew name deriving from a root meaning "help." Ezra is deeply biblical: the scribe and priest Ezra is one of the great restorative figures of the Hebrew Bible, associated with learning, law, and the reestablishment of communal life after exile. The added final -h in Ezrah does not change the pronunciation much, but it does alter the visual impression, making the name look slightly more archaic, more explicitly Hebraic, or simply more individualized, depending on the reader.
That small orthographic change reflects a larger modern habit of reviving old names in subtly personalized forms. Ezra has enjoyed a major renaissance in recent decades, admired for being scriptural, scholarly, and compact; Ezrah rides that same current while standing just a step apart. It can also faintly recall the biblical name Azariah and other Hebrew forms ending in -ah, which may help explain its appeal.
Culturally, Ezra has been strengthened by literary associations, including the poet Ezra Pound, though many modern parents are drawn more to the name’s biblical dignity than to any one bearer. Ezrah therefore feels like a contemporary adaptation of something ancient: rooted in scripture, softened by fashion, and perceived today as thoughtful, spiritual, and slightly uncommon.