| Acqui Terme to Paola | 533.74 mi (858.96 km) |
| Acqui Terme to Parabiago | 65.28 mi (105.05 km) |
| Acqui Terme to Parabita | 587.27 mi (945.12 km) |
| Acqui Terme to Parma | 91.67 mi (147.52 km) |
| Acqui Terme to Partanna | 531.97 mi (856.13 km) |
| Acqui Terme to Partinico | 517.17 mi (832.31 km) |
| Acqui Terme to Pasian di Prato | 248.48 mi (399.89 km) |
| Acqui Terme to Paterno | 593.99 mi (955.93 km) |
| Acqui Terme to Patti | 562.92 mi (905.93 km) |
| Acqui Terme to Paullo | 68.45 mi (110.16 km) |
| Acqui Terme to Pavia | 48.63 mi (78.27 km) |
| Acqui Terme to Pavullo nel Frignano | 118.90 mi (191.35 km) |
| Acqui Terme to Pedara | 596.00 mi (959.16 km) |
| Acqui Terme to Pellezzano | 419.86 mi (675.70 km) |
| Acqui Terme to Penne | 313.04 mi (503.80 km) |
