JMich: You can always "Report this wish: Duplicate", and the conficting wishes will be merged.
As to how much the wishlist influences things around here, that's debatable
Have you seen a merge? I know I reported about a half dozen duplicates and a few weeks later they still existed. Its kind of my big gripe... we went to a nice new layout, new "functional" wishlist and it doesn't seem like its kept up. Lots of games in the wrong place, duplicates, some jokes are entries, etc.
I'd love to think its being kept up, but I'm still seeing the duplicates from the original launch of the new site from a few months ago :(
For example:
You can vote for System Shock 2 or System Shock II
You can vote for Myst IV revelation or Myst IV revelations (one is plural)
The OP provided another example.
There are an absolute plethora of game names in the site features sections (duplicating from the games section as well)
:(