| Altena to Altenberge | 52.25 mi (84.08 km) |
| Altena to Altenburg | 207.73 mi (334.31 km) |
| Altena to Altenholz | 237.60 mi (382.38 km) |
| Altena to Altenstadt | 89.60 mi (144.20 km) |
| Altena to Altensteig | 192.07 mi (309.11 km) |
| Altena to Altlandsberg | 272.75 mi (438.96 km) |
| Altena to Altotting | 308.28 mi (496.13 km) |
| Altena to Altusried | 267.44 mi (430.40 km) |
| Altena to Alzenau in Unterfranken | 104.96 mi (168.92 km) |
| Altena to Alzey | 109.18 mi (175.70 km) |
| Altena to Amberg | 224.43 mi (361.19 km) |
| Altena to Andernach | 60.55 mi (97.45 km) |
| Altena to Angermunde | 293.77 mi (472.78 km) |
| Altena to Anklam | 307.84 mi (495.42 km) |
| Altena to Annaberg-Buchholz | 237.51 mi (382.23 km) |
