| Middelkerke to Pozzallo | 1,160.78 mi (1,868.10 km) |
| Middelkerke to Pozzuoli | 896.06 mi (1,442.07 km) |
| Middelkerke to Prato | 634.59 mi (1,021.28 km) |
| Middelkerke to Preganziol | 578.36 mi (930.78 km) |
| Middelkerke to Priolo Gargallo | 1,142.62 mi (1,838.86 km) |
| Middelkerke to Priverno | 832.17 mi (1,339.25 km) |
| Middelkerke to Pulsano | 1,019.68 mi (1,641.02 km) |
| Middelkerke to Putignano | 986.83 mi (1,588.15 km) |
| Middelkerke to Qualiano | 891.45 mi (1,434.66 km) |
| Middelkerke to Quarrata | 633.32 mi (1,019.23 km) |
| Middelkerke to Quartu Sant'Elena | 880.62 mi (1,417.22 km) |
| Middelkerke to Quartucciu | 879.73 mi (1,415.78 km) |
| Middelkerke to Quattro Castella | 574.11 mi (923.94 km) |
| Middelkerke to Quinto di Treviso | 573.64 mi (923.19 km) |
| Middelkerke to Racale | 1,066.80 mi (1,716.85 km) |
