| Altena to Paola | 917.81 mi (1,477.07 km) |
| Altena to Parabiago | 401.02 mi (645.38 km) |
| Altena to Parabita | 925.07 mi (1,488.75 km) |
| Altena to Parma | 465.44 mi (749.05 km) |
| Altena to Partanna | 971.70 mi (1,563.80 km) |
| Altena to Partinico | 953.17 mi (1,533.98 km) |
| Altena to Pasian di Prato | 441.66 mi (710.79 km) |
| Altena to Paterno | 1,012.56 mi (1,629.55 km) |
| Altena to Patti | 976.20 mi (1,571.04 km) |
| Altena to Paullo | 414.18 mi (666.56 km) |
| Altena to Pavia | 427.97 mi (688.76 km) |
| Altena to Pavullo nel Frignano | 503.19 mi (809.80 km) |
| Altena to Pedara | 1,012.15 mi (1,628.90 km) |
| Altena to Pellezzano | 804.75 mi (1,295.11 km) |
| Altena to Penne | 678.40 mi (1,091.79 km) |
