| Name | What | Region | Country | Lat | Long | Elev Ft. | Pop Est |
| Zaner | city | Pennsylvania | United States | 41.13028 | -76.35861 | 692 | 2821 |
| Zebleys Corner | city | Pennsylvania | United States | 39.83472 | -75.49889 | 308 | 78951 |
| Zediker | city | Pennsylvania | United States | 40.17194 | -80.175 | 1105 | 23308 |
| Zeigler | city | Pennsylvania | United States | 39.75556 | -76.60806 | 807 | 9054 |
| Zelienople | city | Pennsylvania | United States | 40.79444 | -80.13694 | 1099 | 11927 |
| Zenith | city | Pennsylvania | United States | 41.03056 | -76.18917 | 597 | 7589 |
| Zenners | city | Pennsylvania | United States | 40.75306 | -75.9575 | 748 | 11775 |
| Zeno | city | Pennsylvania | United States | 40.77806 | -80.01833 | 1122 | 9732 |
| Zentmyer | city | Pennsylvania | United States | 39.84167 | -77.64083 | 849 | 9999 |
| Zerbe | city | Pennsylvania | United States | 40.65694 | -76.34667 | 987 | 4229 |
| Zerby | city | Pennsylvania | United States | 40.84611 | -77.52139 | 1099 | 1973 |
| Zimmerman | city | Pennsylvania | United States | 40.04833 | -79.10917 | 2165 | 7500 |
| Zinns Mill | city | Pennsylvania | United States | 40.2925 | -76.42889 | 557 | 43028 |
| Zion | city | Pennsylvania | United States | 40.91417 | -77.685 | 1046 | 5294 |
| Zion Grove | city | Pennsylvania | United States | 40.9025 | -76.20889 | 1000 | 3102 |
| Zion Heights | city | Pennsylvania | United States | 41.84639 | -76.24833 | 1394 | 1294 |
| Zion Hill | city | Pennsylvania | United States | 41.13944 | -79.50556 | 1295 | 2749 |
| Zionhill | city | Pennsylvania | United States | 40.48417 | -75.39417 | 600 | 19845 |
| Zions View | city | Pennsylvania | United States | 40.05278 | -76.76861 | 396 | 17111 |
| Zionsville | city | Pennsylvania | United States | 40.47972 | -75.50556 | 583 | 21686 |
| Zooks Corner | city | Pennsylvania | United States | 40.07944 | -76.25222 | 347 | 83908 |
| Zora | city | Pennsylvania | United States | 39.73083 | -77.36889 | 554 | 6551 |
| Zucksville | city | Pennsylvania | United States | 40.71861 | -75.24472 | 308 | 60998 |
| Zullinger | city | Pennsylvania | United States | 39.77 | -77.63 | 744 | 12154 |
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