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The growth of cities in northern Italy during the Middle Ages was primarily driven by trade and commerce, facilitated by its strategic location along key trade routes and proximity to the Mediterranean Sea. The rise of powerful merchant and banking families, such as the Medici, encouraged economic development and urbanization. Additionally, the establishment of communal governments allowed for greater civic autonomy and infrastructure improvements, further attracting people to urban centers. This combination of economic opportunity and political stability fostered the flourishing of cities like Milan, Venice, and Florence.

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