| Difficult Run to Pandino | 4,251.22 mi (6,841.67 km) |
| Difficult Run to Paola | 4,748.44 mi (7,641.88 km) |
| Difficult Run to Parabiago | 4,220.30 mi (6,791.91 km) |
| Difficult Run to Parabita | 4,814.75 mi (7,748.58 km) |
| Difficult Run to Parma | 4,304.20 mi (6,926.94 km) |
| Difficult Run to Partanna | 4,667.84 mi (7,512.16 km) |
| Difficult Run to Partinico | 4,666.31 mi (7,509.70 km) |
| Difficult Run to Pasian di Prato | 4,384.06 mi (7,055.47 km) |
| Difficult Run to Paterno | 4,766.09 mi (7,670.28 km) |
| Difficult Run to Patti | 4,747.21 mi (7,639.90 km) |
| Difficult Run to Paullo | 4,244.24 mi (6,830.45 km) |
| Difficult Run to Pavia | 4,241.16 mi (6,825.48 km) |
| Difficult Run to Pavullo nel Frignano | 4,341.60 mi (6,987.12 km) |
| Difficult Run to Pedara | 4,771.78 mi (7,679.43 km) |
| Difficult Run to Pellezzano | 4,640.85 mi (7,468.72 km) |
