| Pittsburgh to Staro Nagoricane | 4,927.45 mi (7,929.96 km) |
| Pittsburgh to Stip | 4,961.90 mi (7,985.40 km) |
| Pittsburgh to Struga | 4,924.12 mi (7,924.61 km) |
| Pittsburgh to Strumica | 4,993.00 mi (8,035.46 km) |
| Pittsburgh to Studenicani | 4,927.48 mi (7,930.02 km) |
| Pittsburgh to Sveti Nikole | 4,946.31 mi (7,960.31 km) |
| Pittsburgh to Tearce | 4,901.23 mi (7,887.76 km) |
| Pittsburgh to Tetovo | 4,900.80 mi (7,887.08 km) |
| Pittsburgh to Valandovo | 4,994.90 mi (8,038.52 km) |
| Pittsburgh to Vasilevo | 4,991.29 mi (8,032.70 km) |
| Pittsburgh to Veles | 4,945.95 mi (7,959.74 km) |
| Pittsburgh to Vevcani | 4,917.94 mi (7,914.66 km) |
| Pittsburgh to Vinica | 4,968.38 mi (7,995.83 km) |
| Pittsburgh to Vrapciste | 4,904.77 mi (7,893.46 km) |
| Pittsburgh to Zelenikovo | 4,931.00 mi (7,935.68 km) |
