| Altena to Santander | 760.72 mi (1,224.26 km) |
| Altena to Santany | 853.88 mi (1,374.19 km) |
| Altena to Santiago de Compostela | 955.74 mi (1,538.12 km) |
| Altena to Santiago del Teide | 2,033.22 mi (3,272.15 km) |
| Altena to Santiponce | 1,168.97 mi (1,881.27 km) |
| Altena to Santomera | 1,008.26 mi (1,622.64 km) |
| Altena to Santona | 750.60 mi (1,207.97 km) |
| Altena to Santurce-Antiguo | 743.05 mi (1,195.82 km) |
| Altena to Sarria | 919.21 mi (1,479.32 km) |
| Altena to Sauzal | 2,010.28 mi (3,235.23 km) |
| Altena to Sedavi | 907.40 mi (1,460.31 km) |
| Altena to Segorbe | 882.60 mi (1,420.41 km) |
| Altena to Segovia | 908.75 mi (1,462.48 km) |
| Altena to Senmanat | 718.99 mi (1,157.10 km) |
| Altena to Sesena | 945.89 mi (1,522.26 km) |
