| Tortona to Potenza Picena | 258.12 mi (415.40 km) |
| Tortona to Pozzallo | 644.54 mi (1,037.28 km) |
| Tortona to Pozzuoli | 387.13 mi (623.03 km) |
| Tortona to Prato | 130.52 mi (210.05 km) |
| Tortona to Preganziol | 170.91 mi (275.05 km) |
| Tortona to Priolo Gargallo | 626.83 mi (1,008.78 km) |
| Tortona to Priverno | 321.47 mi (517.36 km) |
| Tortona to Pulsano | 531.61 mi (855.55 km) |
| Tortona to Putignano | 502.24 mi (808.28 km) |
| Tortona to Qualiano | 383.30 mi (616.87 km) |
| Tortona to Quarrata | 127.15 mi (204.63 km) |
| Tortona to Quartu Sant'Elena | 390.92 mi (629.12 km) |
| Tortona to Quartucciu | 390.10 mi (627.81 km) |
| Tortona to Quattro Castella | 80.59 mi (129.69 km) |
| Tortona to Quinto di Treviso | 168.78 mi (271.62 km) |
