| Acqui Terme to Elkhorn (Wisconsin) | 4,533.93 mi (7,296.66 km) |
| Acqui Terme to Elko (Nevada) | 5,593.90 mi (9,002.51 km) |
| Acqui Terme to Elkridge (Maryland) | 4,189.67 mi (6,742.62 km) |
| Acqui Terme to Elkton (Maryland) | 4,133.03 mi (6,651.47 km) |
| Acqui Terme to Ellensburg (Washington) | 5,385.24 mi (8,666.71 km) |
| Acqui Terme to Ellicott City (Maryland) | 4,190.31 mi (6,743.65 km) |
| Acqui Terme to Elmhurst (Illinois) | 4,544.19 mi (7,313.16 km) |
| Acqui Terme to Elmira (New York) | 4,077.81 mi (6,562.61 km) |
| Acqui Terme to Elmont (New York) | 3,998.15 mi (6,434.41 km) |
| Acqui Terme to Elmwood Park (Illinois) | 4,538.03 mi (7,303.25 km) |
| Acqui Terme to Elmwood Park (New Jersey) | 4,008.35 mi (6,450.82 km) |
| Acqui Terme to Elon (North Carolina) | 4,438.75 mi (7,143.47 km) |
| Acqui Terme to Eloy (Arizona) | 5,898.67 mi (9,493.00 km) |
| Acqui Terme to Elwood (New York) | 3,976.61 mi (6,399.74 km) |
| Acqui Terme to Elyria (Ohio) | 4,328.83 mi (6,966.58 km) |
