| Altoona to Zirndorf | 4,149.44 mi (6,677.87 km) |
| Altoona to Zittau | 4,248.95 mi (6,838.02 km) |
| Altoona to Zorbig | 4,123.13 mi (6,635.53 km) |
| Altoona to Zorneding | 4,230.69 mi (6,808.63 km) |
| Altoona to Zossen | 4,153.25 mi (6,684.01 km) |
| Altoona to Zschopau | 4,188.01 mi (6,739.95 km) |
| Altoona to Zulpich | 3,940.39 mi (6,341.44 km) |
| Altoona to Zweibrucken | 4,013.05 mi (6,458.38 km) |
| Altoona to Zwenkau | 4,144.12 mi (6,669.32 km) |
| Altoona to Zwickau | 4,167.48 mi (6,706.91 km) |
| Altoona to Zwiesel | 4,253.86 mi (6,845.93 km) |
| Altoona to Zwonitz | 4,182.32 mi (6,730.79 km) |
| Altoona to Acharnes | 5,116.12 mi (8,233.60 km) |
| Altoona to Agia Paraskevi | 5,122.90 mi (8,244.52 km) |
| Altoona to Agia Varvara | 5,116.26 mi (8,233.83 km) |
