| Middelkerke to Spilamberto | 595.59 mi (958.51 km) |
| Middelkerke to Spilimbergo | 576.33 mi (927.51 km) |
| Middelkerke to Spinea | 581.17 mi (935.31 km) |
| Middelkerke to Spoleto | 743.96 mi (1,197.28 km) |
| Middelkerke to Spoltore | 804.58 mi (1,294.85 km) |
| Middelkerke to Spresiano | 570.01 mi (917.35 km) |
| Middelkerke to Squinzano | 1,040.04 mi (1,673.78 km) |
| Middelkerke to Statte | 1,004.85 mi (1,617.15 km) |
| Middelkerke to Stezzano | 493.93 mi (794.90 km) |
| Middelkerke to Strada | 657.77 mi (1,058.58 km) |
| Middelkerke to Stradella | 516.31 mi (830.92 km) |
| Middelkerke to Striano | 909.30 mi (1,463.38 km) |
| Middelkerke to Subiaco | 802.85 mi (1,292.06 km) |
| Middelkerke to Sulmona | 820.58 mi (1,320.60 km) |
| Middelkerke to Surbo | 1,044.59 mi (1,681.11 km) |
