| Difficult Run to Pachino | 4,807.89 mi (7,737.54 km) |
| Difficult Run to Paderno Dugnano | 4,229.36 mi (6,806.50 km) |
| Difficult Run to Padova | 4,350.25 mi (7,001.05 km) |
| Difficult Run to Paese | 4,353.00 mi (7,005.48 km) |
| Difficult Run to Palagiano | 4,746.83 mi (7,639.28 km) |
| Difficult Run to Palagonia | 4,768.16 mi (7,673.61 km) |
| Difficult Run to Palazzolo Acreide | 4,785.56 mi (7,701.61 km) |
| Difficult Run to Palermo | 4,675.06 mi (7,523.78 km) |
| Difficult Run to Palestrina | 4,518.43 mi (7,271.71 km) |
| Difficult Run to Pallazzolo sull'Oglio | 4,259.01 mi (6,854.22 km) |
| Difficult Run to Palma Campania | 4,626.34 mi (7,445.37 km) |
| Difficult Run to Palma di Montechiaro | 4,728.29 mi (7,609.45 km) |
| Difficult Run to Palmi | 4,778.51 mi (7,690.27 km) |
| Difficult Run to Palo del Colle | 4,713.78 mi (7,586.10 km) |
| Difficult Run to Palombara Sabina | 4,504.24 mi (7,248.88 km) |
