| Altena to Ratzeburg | 210.47 mi (338.72 km) |
| Altena to Raubling | 313.67 mi (504.81 km) |
| Altena to Rauenberg | 147.68 mi (237.67 km) |
| Altena to Raunheim | 95.07 mi (153.00 km) |
| Altena to Ravensburg | 258.14 mi (415.43 km) |
| Altena to Recke | 73.96 mi (119.03 km) |
| Altena to Recklinghausen | 29.33 mi (47.21 km) |
| Altena to Regen | 290.76 mi (467.93 km) |
| Altena to Regensburg | 251.14 mi (404.17 km) |
| Altena to Regenstauf | 247.98 mi (399.08 km) |
| Altena to Rehau | 203.40 mi (327.34 km) |
| Altena to Rehburg-Loccum | 103.16 mi (166.03 km) |
| Altena to Rehlingen-Siersburg | 140.38 mi (225.92 km) |
| Altena to Reichelsheim | 121.04 mi (194.79 km) |
| Altena to Reichenbach/Vogtland | 207.06 mi (333.23 km) |
