| Pittsburgh to Spello | 4,517.49 mi (7,270.20 km) |
| Pittsburgh to Spilamberto | 4,390.47 mi (7,065.78 km) |
| Pittsburgh to Spilimbergo | 4,409.18 mi (7,095.89 km) |
| Pittsburgh to Spinea | 4,402.88 mi (7,085.76 km) |
| Pittsburgh to Spoleto | 4,526.87 mi (7,285.29 km) |
| Pittsburgh to Spoltore | 4,599.93 mi (7,402.88 km) |
| Pittsburgh to Spresiano | 4,395.94 mi (7,074.58 km) |
| Pittsburgh to Squinzano | 4,845.88 mi (7,798.69 km) |
| Pittsburgh to Statte | 4,804.50 mi (7,732.10 km) |
| Pittsburgh to Stezzano | 4,293.57 mi (6,909.84 km) |
| Pittsburgh to Strada | 4,437.94 mi (7,142.17 km) |
| Pittsburgh to Stradella | 4,298.81 mi (6,918.27 km) |
| Pittsburgh to Striano | 4,682.31 mi (7,535.45 km) |
| Pittsburgh to Subiaco | 4,575.98 mi (7,364.32 km) |
| Pittsburgh to Sulmona | 4,606.70 mi (7,413.77 km) |
