Where did the sewage of Rome finally end up?

The sewage of ancient Rome was primarily channeled into the Cloaca Maxima, one of the world's earliest sewage systems. This massive drain system ultimately directed waste into the Tiber River. While the river served as a disposal site, it also raised concerns about pollution and public health, as it was used for drinking water and bathing. Over time, the management of waste in Rome evolved, but the early systems laid the groundwork for modern sanitation practices.