| Difficult Run to Potenza Picena | 4,495.08 mi (7,234.13 km) |
| Difficult Run to Pozzallo | 4,795.72 mi (7,717.96 km) |
| Difficult Run to Pozzuoli | 4,609.02 mi (7,417.51 km) |
| Difficult Run to Prato | 4,368.24 mi (7,030.01 km) |
| Difficult Run to Preganziol | 4,358.76 mi (7,014.75 km) |
| Difficult Run to Priolo Gargallo | 4,794.37 mi (7,715.79 km) |
| Difficult Run to Priverno | 4,544.08 mi (7,312.99 km) |
| Difficult Run to Pulsano | 4,767.61 mi (7,672.73 km) |
| Difficult Run to Putignano | 4,739.54 mi (7,627.56 km) |
| Difficult Run to Qualiano | 4,606.82 mi (7,413.96 km) |
| Difficult Run to Quarrata | 4,364.45 mi (7,023.91 km) |
| Difficult Run to Quartu Sant'Elena | 4,442.41 mi (7,149.36 km) |
| Difficult Run to Quartucciu | 4,441.65 mi (7,148.14 km) |
| Difficult Run to Quattro Castella | 4,315.75 mi (6,945.53 km) |
| Difficult Run to Quinto di Treviso | 4,354.27 mi (7,007.52 km) |
