| Difficult Run to Vasto | 4,587.54 mi (7,382.94 km) |
| Difficult Run to Vecchiano | 4,340.50 mi (6,985.37 km) |
| Difficult Run to Vedelago | 4,346.82 mi (6,995.53 km) |
| Difficult Run to Veglie | 4,796.47 mi (7,719.17 km) |
| Difficult Run to Velletri | 4,519.23 mi (7,273.00 km) |
| Difficult Run to Venafro | 4,581.46 mi (7,373.14 km) |
| Difficult Run to Venaria Reale | 4,177.50 mi (6,723.03 km) |
| Difficult Run to Venice | 4,368.34 mi (7,030.17 km) |
| Difficult Run to Venosa | 4,678.44 mi (7,529.22 km) |
| Difficult Run to Ventimiglia | 4,218.46 mi (6,788.95 km) |
| Difficult Run to Verbania | 4,191.79 mi (6,746.03 km) |
| Difficult Run to Vercelli | 4,205.11 mi (6,767.47 km) |
| Difficult Run to Vergiate | 4,204.64 mi (6,766.71 km) |
| Difficult Run to Veroli | 4,546.57 mi (7,317.00 km) |
| Difficult Run to Verona | 4,311.59 mi (6,938.84 km) |
