| Elk River to Spello | 4,840.32 mi (7,789.74 km) |
| Elk River to Spilamberto | 4,706.96 mi (7,575.11 km) |
| Elk River to Spilimbergo | 4,697.94 mi (7,560.60 km) |
| Elk River to Spinea | 4,702.59 mi (7,568.09 km) |
| Elk River to Spoleto | 4,851.99 mi (7,808.52 km) |
| Elk River to Spoltore | 4,919.29 mi (7,916.84 km) |
| Elk River to Spresiano | 4,692.03 mi (7,551.10 km) |
| Elk River to Squinzano | 5,160.27 mi (8,304.65 km) |
| Elk River to Statte | 5,123.13 mi (8,244.88 km) |
| Elk River to Stezzano | 4,605.78 mi (7,412.29 km) |
| Elk River to Strada | 4,762.66 mi (7,664.76 km) |
| Elk River to Stradella | 4,619.16 mi (7,433.82 km) |
| Elk River to Striano | 5,015.22 mi (8,071.22 km) |
| Elk River to Subiaco | 4,906.90 mi (7,896.89 km) |
| Elk River to Sulmona | 4,931.43 mi (7,936.38 km) |
