| Acqui Terme to Punta Gorda (Florida) | 4,961.10 mi (7,984.12 km) |
| Acqui Terme to Puyallup (Washington) | 5,420.65 mi (8,723.69 km) |
| Acqui Terme to Queen Creek (Arizona) | 5,872.24 mi (9,450.45 km) |
| Acqui Terme to Queens (New York) | 4,000.28 mi (6,437.83 km) |
| Acqui Terme to Quincy (Illinois) | 4,768.76 mi (7,674.58 km) |
| Acqui Terme to Quincy (Massachusetts) | 3,823.26 mi (6,152.94 km) |
| Acqui Terme to Raceland (Louisiana) | 5,214.25 mi (8,391.52 km) |
| Acqui Terme to Racine (Wisconsin) | 4,502.93 mi (7,246.76 km) |
| Acqui Terme to Radcliff (Kentucky) | 4,641.04 mi (7,469.04 km) |
| Acqui Terme to Radford (Virginia) | 4,441.36 mi (7,147.68 km) |
| Acqui Terme to Rahway (New Jersey) | 4,026.77 mi (6,480.47 km) |
| Acqui Terme to Raleigh (North Carolina) | 4,411.90 mi (7,100.26 km) |
| Acqui Terme to Ramona (California) | 6,065.53 mi (9,761.53 km) |
| Acqui Terme to Ramsey (Minnesota) | 4,606.27 mi (7,413.07 km) |
| Acqui Terme to Ramsey (New Jersey) | 4,003.52 mi (6,443.04 km) |
