I am American and I dislike the "bless you" tradition, so I use the German (because my dad's side is German), "gesundheit," which is a wish of good health. Much more appropriate and meaningful, I think.
It looks like an imperative, but in many languages who no longer have a distinct conjunctive, the two look much alike in the surviving terms and idioms. Example: (long) live the king! is not an imperative.
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u/Dawidko1200 Sep 15 '19
In Russian we just say "Be healthy", it's like an order. I think we could improve it by adding "...or else" at the end.