| Difficult Run to Penne | 4,540.83 mi (7,307.77 km) |
| Difficult Run to Pergine Valsugana | 4,301.04 mi (6,921.85 km) |
| Difficult Run to Perugia | 4,450.86 mi (7,162.97 km) |
| Difficult Run to Pesaro | 4,444.89 mi (7,153.36 km) |
| Difficult Run to Pescantina | 4,304.75 mi (6,927.82 km) |
| Difficult Run to Pescara | 4,553.25 mi (7,327.75 km) |
| Difficult Run to Peschiera del Garda | 4,298.64 mi (6,917.99 km) |
| Difficult Run to Pescia | 4,349.87 mi (7,000.44 km) |
| Difficult Run to Petilia Policastro | 4,791.41 mi (7,711.03 km) |
| Difficult Run to Piacenza | 4,269.01 mi (6,870.31 km) |
| Difficult Run to Pianella | 4,548.44 mi (7,320.00 km) |
| Difficult Run to Pianezza | 4,173.93 mi (6,717.29 km) |
| Difficult Run to Pianiga | 4,354.02 mi (7,007.11 km) |
| Difficult Run to Piano di Sorrento | 4,628.81 mi (7,449.35 km) |
| Difficult Run to Pianoro | 4,361.47 mi (7,019.11 km) |
