| Middelkerke to Anagni | 815.51 mi (1,312.43 km) |
| Middelkerke to Ancona | 722.25 mi (1,162.35 km) |
| Middelkerke to Andria | 940.46 mi (1,513.53 km) |
| Middelkerke to Angri | 914.08 mi (1,471.07 km) |
| Middelkerke to Anguillara Sabazia | 770.88 mi (1,240.62 km) |
| Middelkerke to Anzio | 818.07 mi (1,316.55 km) |
| Middelkerke to Anzola dell'Emilia | 600.11 mi (965.79 km) |
| Middelkerke to Aosta | 429.15 mi (690.65 km) |
| Middelkerke to Apricena | 882.84 mi (1,420.79 km) |
| Middelkerke to Aprilia | 810.64 mi (1,304.60 km) |
| Middelkerke to Aradeo | 1,058.90 mi (1,704.13 km) |
| Middelkerke to Aragona | 1,089.21 mi (1,752.91 km) |
| Middelkerke to Arco | 517.62 mi (833.02 km) |
| Middelkerke to Arcola | 588.55 mi (947.18 km) |
| Middelkerke to Arcore | 485.33 mi (781.06 km) |
