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Using a word like "Save" in place of an icon could be problematic when translating into another language in which it was a much longer word.

It happens all the time. It’s not a novel problem. And designers sometimes need to design keeping in mind the localization needs.

Then it should be considered by designer.

The word "save" itself is also a bit of a convention that we have had to learn culturally. What does it mean really in this context when you think about it? Save it for later? Save it from the void (temporarily)?

Do they think they store it in the bin or something?