| Middelkerke to Elkhorn (Wisconsin) | 4,066.50 mi (6,544.41 km) |
| Middelkerke to Elko (Nevada) | 5,084.17 mi (8,182.18 km) |
| Middelkerke to Elkridge (Maryland) | 3,767.02 mi (6,062.44 km) |
| Middelkerke to Elkton (Maryland) | 3,711.10 mi (5,972.44 km) |
| Middelkerke to Ellensburg (Washington) | 4,867.19 mi (7,832.98 km) |
| Middelkerke to Ellicott City (Maryland) | 3,766.98 mi (6,062.37 km) |
| Middelkerke to Elmhurst (Illinois) | 4,080.74 mi (6,567.32 km) |
| Middelkerke to Elmira (New York) | 3,640.92 mi (5,859.50 km) |
| Middelkerke to Elmont (New York) | 3,576.85 mi (5,756.38 km) |
| Middelkerke to Elmwood Park (Illinois) | 4,074.78 mi (6,557.73 km) |
| Middelkerke to Elmwood Park (New Jersey) | 3,584.80 mi (5,769.18 km) |
| Middelkerke to Elon (North Carolina) | 4,022.35 mi (6,473.35 km) |
| Middelkerke to Eloy (Arizona) | 5,406.97 mi (8,701.68 km) |
| Middelkerke to Elwood (New York) | 3,555.64 mi (5,722.24 km) |
| Middelkerke to Elyria (Ohio) | 3,881.42 mi (6,246.55 km) |
