| Pietrasanta to Acqui Terme | 100.16 mi (161.20 km) |
| Pietrasanta to Acri | 441.81 mi (711.02 km) |
| Pietrasanta to Adelfia | 395.05 mi (635.77 km) |
| Pietrasanta to Adrano | 496.22 mi (798.59 km) |
| Pietrasanta to Adria | 118.21 mi (190.25 km) |
| Pietrasanta to Afragola | 295.68 mi (475.85 km) |
| Pietrasanta to Agliana | 39.03 mi (62.81 km) |
| Pietrasanta to Agrate Brianza | 120.93 mi (194.62 km) |
| Pietrasanta to Agrigento | 490.68 mi (789.68 km) |
| Pietrasanta to Agropoli | 348.14 mi (560.29 km) |
| Pietrasanta to Ala | 130.44 mi (209.93 km) |
| Pietrasanta to Alassio | 102.08 mi (164.29 km) |
| Pietrasanta to Alatri | 220.37 mi (354.65 km) |
| Pietrasanta to Alba | 119.93 mi (193.01 km) |
| Pietrasanta to Albano Laziale | 196.81 mi (316.74 km) |
