| Difficult Run to Piazza Armerina | 4,748.70 mi (7,642.29 km) |
| Difficult Run to Piazzola sul Brenta | 4,341.29 mi (6,986.62 km) |
| Difficult Run to Pietrasanta | 4,327.89 mi (6,965.07 km) |
| Difficult Run to Pieve di Soligo | 4,346.43 mi (6,994.90 km) |
| Difficult Run to Pinerolo | 4,171.56 mi (6,713.48 km) |
| Difficult Run to Pioltello | 4,238.70 mi (6,821.53 km) |
| Difficult Run to Piombino | 4,375.26 mi (7,041.30 km) |
| Difficult Run to Piombino Dese | 4,348.60 mi (6,998.40 km) |
| Difficult Run to Piossasco | 4,174.07 mi (6,717.52 km) |
| Difficult Run to Piove di Sacco | 4,360.65 mi (7,017.79 km) |
| Difficult Run to Pisa | 4,343.47 mi (6,990.14 km) |
| Difficult Run to Pisticci | 4,732.55 mi (7,616.31 km) |
| Difficult Run to Pistoia | 4,358.66 mi (7,014.59 km) |
| Difficult Run to Pizzo | 4,778.66 mi (7,690.50 km) |
| Difficult Run to Podenzano | 4,271.55 mi (6,874.40 km) |
