| Middletown to Elkhart (Indiana) | 172.84 mi (278.17 km) |
| Middletown to Elkhorn (Wisconsin) | 308.32 mi (496.19 km) |
| Middletown to Elko (Nevada) | 1,651.58 mi (2,657.96 km) |
| Middletown to Elkridge (Maryland) | 407.74 mi (656.19 km) |
| Middletown to Elkton (Maryland) | 455.09 mi (732.40 km) |
| Middletown to Ellensburg (Washington) | 1,874.53 mi (3,016.77 km) |
| Middletown to Ellicott City (Maryland) | 402.35 mi (647.52 km) |
| Middletown to Elmhurst (Illinois) | 249.90 mi (402.18 km) |
| Middletown to Elmira (New York) | 433.65 mi (697.90 km) |
| Middletown to Elmont (New York) | 568.97 mi (915.66 km) |
| Middletown to Elmwood Park (Illinois) | 246.12 mi (396.09 km) |
| Middletown to Elmwood Park (New Jersey) | 548.94 mi (883.43 km) |
| Middletown to Elon (North Carolina) | 354.24 mi (570.09 km) |
| Middletown to Eloy (Arizona) | 1,582.91 mi (2,547.45 km) |
| Middletown to Elwood (New York) | 589.08 mi (948.04 km) |
