| Altena to Vrsac | 757.58 mi (1,219.21 km) |
| Altena to Zabalj | 700.27 mi (1,126.97 km) |
| Altena to Zabari | 788.56 mi (1,269.07 km) |
| Altena to Zagubica | 817.04 mi (1,314.90 km) |
| Altena to Zajecar | 848.87 mi (1,366.12 km) |
| Altena to Zemun | 735.97 mi (1,184.42 km) |
| Altena to Zitiste | 713.19 mi (1,147.77 km) |
| Altena to Zitorada | 862.79 mi (1,388.53 km) |
| Altena to Zrenjanin | 711.54 mi (1,145.11 km) |
| Altena to Banovce nad Bebravou | 502.42 mi (808.56 km) |
| Altena to Banska Bystrica | 538.85 mi (867.19 km) |
| Altena to Banska Stiavnica | 536.48 mi (863.38 km) |
| Altena to Bardejov | 615.51 mi (990.56 km) |
| Altena to Bernolakovo | 479.98 mi (772.45 km) |
| Altena to Bratislava | 474.35 mi (763.39 km) |
