
But I tend to feel a bit of guilt for not saying it, not the depressing type of guilt, it the type of guilt you feel when you don't say please and thank you.

I'm an atheist and i say it, you don't have to be so hardcore about your beliefs it just makes you look a bit of a dick. Some things are just harmless traditions, whimsy and niceties and being dogmatic about it just doesn't do any good
It's religious to say bless you. Religion incorporated into lives of people who are not religious too.
They say "so live" in my country when someone sneezes. There isn't thing about God or religious so you have to move here lol
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It's just a nice thing to do.
Around my social group you say bless you once or twice after that you just get berated with insults. "Get your shit together" is the default, after that you get creative to be embarrassing for the situation.
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