| Acqui Terme to Rossano | 546.97 mi (880.26 km) |
| Acqui Terme to Rottofreno | 59.11 mi (95.13 km) |
| Acqui Terme to Rovato | 96.71 mi (155.64 km) |
| Acqui Terme to Roverbella | 119.51 mi (192.33 km) |
| Acqui Terme to Rovereto | 150.68 mi (242.49 km) |
| Acqui Terme to Rovigo | 165.18 mi (265.84 km) |
| Acqui Terme to Rozzano | 59.12 mi (95.14 km) |
| Acqui Terme to Rubano | 170.02 mi (273.63 km) |
| Acqui Terme to Rubiera | 113.76 mi (183.08 km) |
| Acqui Terme to Ruffano | 594.98 mi (957.52 km) |
| Acqui Terme to Russi | 176.80 mi (284.53 km) |
| Acqui Terme to Rutigliano | 499.16 mi (803.33 km) |
| Acqui Terme to Ruvo di Puglia | 474.07 mi (762.94 km) |
| Acqui Terme to Sabaudia | 327.69 mi (527.36 km) |
| Acqui Terme to Sacile | 215.16 mi (346.27 km) |
