| Altena to Zottegem | 170.46 mi (274.32 km) |
| Altena to Zulte | 185.52 mi (298.56 km) |
| Altena to Zwevegem | 191.34 mi (307.92 km) |
| Altena to Zwijndrecht | 144.24 mi (232.13 km) |
| Altena to Asenovgrad | 1,033.29 mi (1,662.93 km) |
| Altena to Aytos | 1,092.27 mi (1,757.85 km) |
| Altena to Balchik | 1,097.28 mi (1,765.90 km) |
| Altena to Bankya | 937.05 mi (1,508.04 km) |
| Altena to Bansko | 992.32 mi (1,596.99 km) |
| Altena to Berkovitsa | 910.90 mi (1,465.96 km) |
| Altena to Blagoevgrad | 969.53 mi (1,560.30 km) |
| Altena to Botevgrad | 951.24 mi (1,530.88 km) |
| Altena to Burgas | 1,109.60 mi (1,785.72 km) |
| Altena to Byala Slatina | 930.50 mi (1,497.49 km) |
| Altena to Chirpan | 1,041.51 mi (1,676.15 km) |
