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[[File:simcity sewage treatment plant.jpg|400px|thumb|right|Sewage Treatment Plant]]
All Sims produce wastewater called sewage. If sewage is not properly disposed of, it turns into ground pollution and cause your Sims to become sick. Build a [[#Sewage Outflow Pipe|Sewage output pipe]] to transport sewage to a remote part of the city, away from your residential and commercial [[zones]]. Later on, a [[#Sewage Treatment Plant|Sewage Treatment Plant]] should be constructed to eliminate sewage without producing ground pollution.