| Altena to Unterschleissheim | 271.41 mi (436.79 km) |
| Altena to Unterwellenborn | 170.08 mi (273.71 km) |
| Altena to Urbach | 191.60 mi (308.34 km) |
| Altena to Usingen | 76.78 mi (123.57 km) |
| Altena to Uslar | 88.30 mi (142.10 km) |
| Altena to Vaihingen an der Enz | 173.24 mi (278.81 km) |
| Altena to Vallendar | 62.41 mi (100.45 km) |
| Altena to Varel | 146.23 mi (235.33 km) |
| Altena to Vaterstetten | 286.90 mi (461.72 km) |
| Altena to Vechelde | 133.33 mi (214.57 km) |
| Altena to Vechta | 102.32 mi (164.67 km) |
| Altena to Veitshochheim | 140.44 mi (226.01 km) |
| Altena to Velbert | 26.73 mi (43.02 km) |
| Altena to Velen | 50.28 mi (80.92 km) |
| Altena to Vellmar | 77.79 mi (125.20 km) |
