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Although the Quinsigamond has many small tributaries and drains a sizable area, the river proper is only 5.6 miles (9.0 km) long.  It flows roughly southwards from its origin at Lake Quinsigamond at Worcester's eastern edge, past North Grafton where Bummet Brook enters, through Lake Ripple northwest of Grafton, and into Fisherville Pond at Fisherville, where it merges into the Blackstone River.
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