| Altoona to Vrnjacka Banja | 4,763.69 mi (7,666.42 km) |
| Altoona to Vrsac | 4,718.83 mi (7,594.22 km) |
| Altoona to Zabalj | 4,659.95 mi (7,499.46 km) |
| Altoona to Zabari | 4,746.44 mi (7,638.65 km) |
| Altoona to Zagubica | 4,775.83 mi (7,685.95 km) |
| Altoona to Zajecar | 4,807.65 mi (7,737.17 km) |
| Altoona to Zemun | 4,693.97 mi (7,554.21 km) |
| Altoona to Zitiste | 4,674.32 mi (7,522.59 km) |
| Altoona to Zitorada | 4,815.00 mi (7,748.99 km) |
| Altoona to Zrenjanin | 4,672.02 mi (7,518.89 km) |
| Altoona to Banovce nad Bebravou | 4,458.93 mi (7,175.95 km) |
| Altoona to Banska Bystrica | 4,492.02 mi (7,229.20 km) |
| Altoona to Banska Stiavnica | 4,493.19 mi (7,231.09 km) |
| Altoona to Bardejov | 4,550.12 mi (7,322.71 km) |
| Altoona to Bernolakovo | 4,441.73 mi (7,148.27 km) |
