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//Выставив паузу между генерацией мы уже будем иметь разные значения
int city_int = new Random().Next(0, 55-1);
project.SendInfoToLog(Convert.ToString(city_int));

System.Threading.Thread.Sleep(1000);

int city_int2 = new Random().Next(0, 55-1);
project.SendInfoToLog(Convert.ToString(city_int2)); 

Random rnd = new Random();
IZennoList goroda_list = project.Lists["Города"];
string city1 = goroda_list[rnd.Next(0, goroda_list.Count-1)];
project.Variables["city1"].Value = city1;

string city2  = goroda_list[rnd.Next(0, goroda_list.Count-1)];
project.Variables["city2"].Value = city2;