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Markov categories allow formalization of probabilistic and causal reasoning in a general setting that applies uniformly to many different kinds of classical probabilistic processes. It has so far been challenging, however, to generalize these techniques to reasoning about quantum processes, as the quantum no-cloning theorem forbids "copy" maps of the sort that have been used to axiomatize conditional independence, and the related notions of complete common causes and Markovianity, in classical Bayesian networks. Here, we introduce a new categorical notion of Markovian causal model, according to which a distinguished subcategory of "common cause" maps plays a similar role to that of "copy" maps in the categorical formulation of Bayesian networks. Moreover, defining causal models as second-order processes yields a clean and flexible formulation of interventions. Our formalism is both rich enough to handle "complete common cause" assumptions and general enough to encompass not only standard classical causal identification scenarios, but also quantum causal scenarios and new kinds of classical causal identification based on imperfect observations. Furthermore, we show that one can reason uniformly across all of these cases using string-diagrammatic techniques.