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The most important addition to the water infrastructure during Caracalla's reign was the construction of the Thermae Caracalla (Baths of Caracalla), the largest Imperial bath to date. Alexander Severus built a new aqueduct, the Aqua Alexandrina, which may have terminated on the Esquiline hill. He restored and enlarged the Baths of Nero and renamed them the Thermae Alexandrina (Baths of Alexander), which were then provided with water from the Aqua Alexandrina.

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