| Altena to Vittoria | 1,047.20 mi (1,685.31 km) |
| Altena to Vittorio Veneto | 423.70 mi (681.88 km) |
| Altena to Vittuone | 406.17 mi (653.66 km) |
| Altena to Voghera | 440.16 mi (708.37 km) |
| Altena to Volpago del Montello | 431.93 mi (695.12 km) |
| Altena to Volpiano | 421.50 mi (678.34 km) |
| Altena to Volterra | 565.87 mi (910.69 km) |
| Altena to Volvera | 438.81 mi (706.20 km) |
| Altena to Zafferana Etnea | 1,008.37 mi (1,622.82 km) |
| Altena to Zagarolo | 698.17 mi (1,123.60 km) |
| Altena to Zanica | 401.84 mi (646.70 km) |
| Altena to Zero Branco | 444.35 mi (715.12 km) |
| Altena to Zevio | 439.22 mi (706.85 km) |
| Altena to Zogno | 391.23 mi (629.62 km) |
| Altena to Zola Predosa | 498.42 mi (802.13 km) |
