| Elk River to Seymour (Tennessee) | 829.87 mi (1,335.54 km) |
| Elk River to Shady Hills (Florida) | 1,315.76 mi (2,117.51 km) |
| Elk River to Shafter (California) | 1,501.74 mi (2,416.82 km) |
| Elk River to Shaker Heights (Ohio) | 658.64 mi (1,059.98 km) |
| Elk River to Shakopee (Minnesota) | 38.73 mi (62.32 km) |
| Elk River to Sharon (Pennsylvania) | 714.55 mi (1,149.96 km) |
| Elk River to Sharonville (Ohio) | 626.76 mi (1,008.67 km) |
| Elk River to Shasta Lake (California) | 1,482.32 mi (2,385.56 km) |
| Elk River to Shawnee (Kansas) | 440.95 mi (709.64 km) |
| Elk River to Shawnee (Oklahoma) | 712.09 mi (1,146.00 km) |
| Elk River to Sheboygan (Wisconsin) | 307.61 mi (495.06 km) |
| Elk River to Shelby (North Carolina) | 937.35 mi (1,508.53 km) |
| Elk River to Shelbyville (Indiana) | 563.49 mi (906.84 km) |
| Elk River to Shelbyville (Kentucky) | 652.68 mi (1,050.38 km) |
| Elk River to Shelbyville (Tennessee) | 774.91 mi (1,247.09 km) |
