| Altena to Pozzallo | 1,066.75 mi (1,716.78 km) |
| Altena to Pozzuoli | 786.52 mi (1,265.78 km) |
| Altena to Prato | 536.80 mi (863.89 km) |
| Altena to Preganziol | 445.77 mi (717.40 km) |
| Altena to Priolo Gargallo | 1,043.67 mi (1,679.62 km) |
| Altena to Priverno | 728.00 mi (1,171.60 km) |
| Altena to Pulsano | 884.95 mi (1,424.20 km) |
| Altena to Putignano | 850.78 mi (1,369.20 km) |
| Altena to Qualiano | 781.00 mi (1,256.90 km) |
| Altena to Quarrata | 537.48 mi (864.99 km) |
| Altena to Quartu Sant'Elena | 836.39 mi (1,346.03 km) |
| Altena to Quartucciu | 835.55 mi (1,344.70 km) |
| Altena to Quattro Castella | 478.40 mi (769.90 km) |
| Altena to Quinto di Treviso | 441.25 mi (710.13 km) |
| Altena to Racale | 929.23 mi (1,495.45 km) |
