| Altena to Piazzola sul Brenta | 440.40 mi (708.76 km) |
| Altena to Pietrasanta | 521.79 mi (839.74 km) |
| Altena to Pieve di Soligo | 426.84 mi (686.94 km) |
| Altena to Pinerolo | 443.34 mi (713.49 km) |
| Altena to Pioltello | 407.94 mi (656.51 km) |
| Altena to Piombino | 593.24 mi (954.73 km) |
| Altena to Piombino Dese | 440.41 mi (708.78 km) |
| Altena to Piossasco | 436.04 mi (701.73 km) |
| Altena to Piove di Sacco | 460.60 mi (741.26 km) |
| Altena to Pisa | 539.16 mi (867.69 km) |
| Altena to Pisticci | 865.59 mi (1,393.03 km) |
| Altena to Pistoia | 530.88 mi (854.37 km) |
| Altena to Pizzo | 960.90 mi (1,546.42 km) |
| Altena to Podenzano | 448.44 mi (721.70 km) |
| Altena to Poggibonsi | 565.06 mi (909.37 km) |
