| Cities | Distance |
|---|---|
| Altena to Dendermonde | 155.61 mi (250.43 km) |
| Altena to Dessel | 110.33 mi (177.56 km) |
| Altena to Destelbergen | 168.36 mi (270.96 km) |
| Altena to Deurne | 138.62 mi (223.09 km) |
| Altena to Diepenbeek | 101.28 mi (162.99 km) |
| Altena to Diest | 115.44 mi (185.78 km) |
| Altena to Diksmuide | 208.74 mi (335.93 km) |
| Altena to Dilbeek | 151.80 mi (244.30 km) |
| Altena to Dinant | 139.73 mi (224.88 km) |
| Altena to Dison | 92.08 mi (148.19 km) |
| Altena to Dour | 180.59 mi (290.63 km) |
| Altena to Drongen | 174.11 mi (280.20 km) |
| Altena to Duffel | 137.06 mi (220.58 km) |
| Altena to Durbuy | 116.59 mi (187.64 km) |
| Altena to Ecaussinnes-Lalaing | 159.90 mi (257.34 km) |