Cryptic crossword clue
Distinguished Italian doctor decapitated Scottish child 8

The most common and most likely answer to this crossword clue is the 8 letter word MEDICEAN

M
E
D
I
C
E
A
N

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The straight part
We know that "Distinguished Italian" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case distinguished italian = medicean.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

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