| Altopascio to Acqui Terme | 124.66 mi (200.62 km) |
| Altopascio to Acri | 418.76 mi (673.94 km) |
| Altopascio to Adelfia | 370.50 mi (596.26 km) |
| Altopascio to Adrano | 477.08 mi (767.78 km) |
| Altopascio to Adria | 108.66 mi (174.87 km) |
| Altopascio to Afragola | 272.99 mi (439.33 km) |
| Altopascio to Agliana | 16.79 mi (27.03 km) |
| Altopascio to Agrate Brianza | 138.51 mi (222.91 km) |
| Altopascio to Agrigento | 474.11 mi (763.01 km) |
| Altopascio to Agropoli | 325.47 mi (523.79 km) |
| Altopascio to Ala | 134.48 mi (216.42 km) |
| Altopascio to Alassio | 125.91 mi (202.63 km) |
| Altopascio to Alatri | 197.63 mi (318.06 km) |
| Altopascio to Alba | 144.63 mi (232.76 km) |
| Altopascio to Albano Laziale | 175.60 mi (282.60 km) |
