| Middelkerke to Alberobello | 994.24 mi (1,600.08 km) |
| Middelkerke to Albignasego | 578.58 mi (931.14 km) |
| Middelkerke to Albinea | 578.85 mi (931.56 km) |
| Middelkerke to Albino | 492.11 mi (791.98 km) |
| Middelkerke to Alcamo | 1,037.91 mi (1,670.36 km) |
| Middelkerke to Alessandria | 508.81 mi (818.85 km) |
| Middelkerke to Alfonsine | 628.79 mi (1,011.94 km) |
| Middelkerke to Alghero | 779.70 mi (1,254.80 km) |
| Middelkerke to Alpignano | 472.68 mi (760.71 km) |
| Middelkerke to Altamura | 970.25 mi (1,561.47 km) |
| Middelkerke to Altavilla Vicentina | 556.46 mi (895.53 km) |
| Middelkerke to Altofonte | 1,041.32 mi (1,675.84 km) |
| Middelkerke to Altopascio | 626.85 mi (1,008.82 km) |
| Middelkerke to Alzano Lombardo | 491.68 mi (791.28 km) |
| Middelkerke to Amelia | 748.00 mi (1,203.78 km) |
