The Navile Channel (Bologna, Italy) is an ancient artificial water course derived from the Reno river. It is the main receiving water body for the urban catchment of Bologna sewer systems and also for the Waste Water Treatment Plant (WWTP) main outlet. The aim of this work is to evaluate the Combined Sewer Overflows (CSOs) impact on Navile Channel's water quality. In order to collect Navile flow and water quality data in both dry and wet weather conditions, two measuring and sampling stations were installed, right upstream and downstream the WWTP outflow. The study shows that even in case of low intensity rain events, CSOs have a significant effect on both water quantity and quality, spilling a considerable amount of pollutants into the Navile Channel and presenting also acute toxicity effects. The collected data shown a good correlations between the concentrations of TSS and of chemical compounds analyzed, suggesting that the most part of such substances is attached to suspended solids. Resulting toxicity values are fairly high in both measuring points and seem to confirm synergistic interactions between heavy metals.