| Altena to Sulzbach | 141.83 mi (228.26 km) |
| Altena to Sulzbach-Rosenberg | 218.60 mi (351.80 km) |
| Altena to Sundern | 14.44 mi (23.24 km) |
| Altena to Sussen | 203.46 mi (327.43 km) |
| Altena to Syke | 121.84 mi (196.08 km) |
| Altena to Tamm | 176.75 mi (284.46 km) |
| Altena to Tangerhutte | 192.91 mi (310.46 km) |
| Altena to Tangermunde | 202.34 mi (325.64 km) |
| Altena to Tauberbischofsheim | 145.39 mi (233.99 km) |
| Altena to Taucha | 208.38 mi (335.35 km) |
| Altena to Taufkirchen | 285.04 mi (458.73 km) |
| Altena to Taufkirchen | 285.60 mi (459.62 km) |
| Altena to Taunusstein | 83.34 mi (134.12 km) |
| Altena to Tecklenburg | 63.83 mi (102.72 km) |
| Altena to Teisendorf | 331.60 mi (533.66 km) |
