| Middletown to Punta Gorda (Florida) | 881.33 mi (1,418.37 km) |
| Middletown to Puyallup (Washington) | 1,956.93 mi (3,149.37 km) |
| Middletown to Queen Creek (Arizona) | 1,569.66 mi (2,526.13 km) |
| Middletown to Queens (New York) | 564.57 mi (908.59 km) |
| Middletown to Quincy (Illinois) | 373.85 mi (601.66 km) |
| Middletown to Quincy (Massachusetts) | 721.80 mi (1,161.63 km) |
| Middletown to Raceland (Louisiana) | 763.21 mi (1,228.27 km) |
| Middletown to Racine (Wisconsin) | 286.00 mi (460.28 km) |
| Middletown to Radcliff (Kentucky) | 143.87 mi (231.54 km) |
| Middletown to Radford (Virginia) | 263.87 mi (424.66 km) |
| Middletown to Rahway (New Jersey) | 538.48 mi (866.61 km) |
| Middletown to Raleigh (North Carolina) | 402.71 mi (648.10 km) |
| Middletown to Ramona (California) | 1,854.16 mi (2,983.98 km) |
| Middletown to Ramsey (Minnesota) | 610.23 mi (982.06 km) |
| Middletown to Ramsey (New Jersey) | 549.00 mi (883.53 km) |
