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Some downloadable maps for Cities Skylines start you in a land-locked square with no water, but a drain pipe is the only option I can find for getting rid of sewage. Is there a way to get rid of sewage without access to a body of water?

I've seen some posts on reddit about using a canal, but canals aren't available for quite some time after starting a new city.

6

If you are happy to use other than vanilla drainage buildings you can use following.

  1. Quad's Water Purifer (does not require any road connection) or
  2. Modular sewage treatment facility

However if you are not happy with those two options you can do the terra-forming and create a lake using following mod in which you can put / place sewage building.

Hope this helps.

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