| Acqui Terme to Zirndorf | 349.86 mi (563.04 km) |
| Acqui Terme to Zittau | 520.42 mi (837.54 km) |
| Acqui Terme to Zorbig | 508.02 mi (817.58 km) |
| Acqui Terme to Zorneding | 284.79 mi (458.33 km) |
| Acqui Terme to Zossen | 568.49 mi (914.90 km) |
| Acqui Terme to Zschopau | 470.75 mi (757.59 km) |
| Acqui Terme to Zulpich | 424.68 mi (683.46 km) |
| Acqui Terme to Zweibrucken | 320.26 mi (515.41 km) |
| Acqui Terme to Zwenkau | 485.74 mi (781.73 km) |
| Acqui Terme to Zwickau | 457.36 mi (736.06 km) |
| Acqui Terme to Zwiesel | 374.86 mi (603.28 km) |
| Acqui Terme to Zwonitz | 457.11 mi (735.64 km) |
| Acqui Terme to Acharnes | 910.96 mi (1,466.05 km) |
| Acqui Terme to Agia Paraskevi | 917.66 mi (1,476.84 km) |
| Acqui Terme to Agia Varvara | 910.56 mi (1,465.40 km) |
