4 down
Italian
flower
again
chewed
up?
(5)
Italian flower again chewed up? (5)
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The definition is at the beginning of the clue.
How the clue works
The definition is Italian flower — a "flower" in cryptic land being something that flows, so a river, specifically the one running through Rome. "Again chewed" gives you REBIT (as in re-bit), and then "up" tells you to reverse it, which spells out TIBER.