ΔE 18.4, loose: different enough that you should pick on purpose. Sickly Skin is much more muted, cooler than Cosmic Dust.
Not as a straight swap; see the closer alternatives below. Loose match (ΔE 18). Sickly Skin is much more muted, cooler than Cosmic Dust.
The same difference applies the other way round: Cosmic Dust is much more saturated, warmer.
ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.
See Cosmic Dust on the colour wheel See Sickly Skin on the colour wheel
All matches: Cosmic Dust equivalents · Sickly Skin equivalents