| Altena to Rothenburg ob der Tauber | 172.76 mi (278.03 km) |
| Altena to Rottweil | 220.58 mi (354.98 km) |
| Altena to Rudersberg | 186.09 mi (299.49 km) |
| Altena to Rudesheim am Rhein | 91.71 mi (147.59 km) |
| Altena to Rudolstadt | 164.15 mi (264.17 km) |
| Altena to Runkel | 65.38 mi (105.23 km) |
| Altena to Ruppichteroth | 32.34 mi (52.04 km) |
| Altena to Russelsheim | 95.89 mi (154.33 km) |
| Altena to Rutesheim | 181.16 mi (291.55 km) |
| Altena to Ruthen | 37.65 mi (60.59 km) |
| Altena to Saalfeld | 167.10 mi (268.92 km) |
| Altena to Saarbrucken | 145.80 mi (234.64 km) |
| Altena to Saarlouis | 142.88 mi (229.94 km) |
| Altena to Saarwellingen | 139.71 mi (224.84 km) |
| Altena to Salzgitter | 128.34 mi (206.54 km) |
