| Altena to San Vito al Tagliamento | 442.08 mi (711.46 km) |
| Altena to San Vito dei Normanni | 877.51 mi (1,412.22 km) |
| Altena to Sannicandro di Bari | 833.77 mi (1,341.83 km) |
| Altena to Sannicandro Garganico | 753.09 mi (1,211.98 km) |
| Altena to Sansepolcro | 572.98 mi (922.12 km) |
| Altena to Sant'Agata de' Goti | 776.64 mi (1,249.89 km) |
| Altena to Sant'Agata di Militello | 975.11 mi (1,569.29 km) |
| Altena to Sant'Agnello | 804.23 mi (1,294.28 km) |
| Altena to Sant'Ambrogio di Valpolicella | 424.83 mi (683.70 km) |
| Altena to Sant'Anastasia | 788.99 mi (1,269.75 km) |
| Altena to Sant'Angelo Lodigiano | 426.35 mi (686.14 km) |
| Altena to Sant'Antimo | 780.96 mi (1,256.84 km) |
| Altena to Sant'Antioco | 846.12 mi (1,361.69 km) |
| Altena to Sant'Antonio Abate | 800.46 mi (1,288.21 km) |
| Altena to Sant'Arcangelo di Romagna | 546.92 mi (880.19 km) |
