| Altena to Pergine Valsugana | 396.38 mi (637.92 km) |
| Altena to Perugia | 607.27 mi (977.31 km) |
| Altena to Pesaro | 565.04 mi (909.34 km) |
| Altena to Pescantina | 427.76 mi (688.42 km) |
| Altena to Pescara | 683.67 mi (1,100.27 km) |
| Altena to Peschiera del Garda | 427.98 mi (688.77 km) |
| Altena to Pescia | 530.10 mi (853.11 km) |
| Altena to Petilia Policastro | 949.91 mi (1,528.73 km) |
| Altena to Piacenza | 441.83 mi (711.06 km) |
| Altena to Pianella | 684.30 mi (1,101.27 km) |
| Altena to Pianezza | 428.02 mi (688.82 km) |
| Altena to Pianiga | 449.92 mi (724.08 km) |
| Altena to Piano di Sorrento | 804.20 mi (1,294.23 km) |
| Altena to Pianoro | 507.08 mi (816.06 km) |
| Altena to Piazza Armerina | 1,015.89 mi (1,634.92 km) |
