| Altena to Paderno Dugnano | 401.70 mi (646.47 km) |
| Altena to Padova | 450.60 mi (725.16 km) |
| Altena to Paese | 439.86 mi (707.89 km) |
| Altena to Palagiano | 865.33 mi (1,392.61 km) |
| Altena to Palagonia | 1,025.39 mi (1,650.20 km) |
| Altena to Palazzolo Acreide | 1,045.82 mi (1,683.08 km) |
| Altena to Palermo | 952.17 mi (1,532.37 km) |
| Altena to Palestrina | 699.28 mi (1,125.38 km) |
| Altena to Pallazzolo sull'Oglio | 406.67 mi (654.47 km) |
| Altena to Palma Campania | 791.91 mi (1,274.46 km) |
| Altena to Palma di Montechiaro | 1,019.44 mi (1,640.64 km) |
| Altena to Palmi | 977.98 mi (1,573.91 km) |
| Altena to Palo del Colle | 828.26 mi (1,332.96 km) |
| Altena to Palombara Sabina | 681.80 mi (1,097.26 km) |
| Altena to Pandino | 416.68 mi (670.59 km) |
