| Name | What | Region | Country | Lat | Long | Elev ft. | Pop est |
|---|---|---|---|---|---|---|---|
| Old Radnor | city | Powys | United Kingdom | 52.22 | -3.10 | 977 | 2404 |
| Old Rampart | city | Alaska | United States | 67.16 | -141.67 | 830 | |
| Old Rayne | city | Aberdeenshire | United Kingdom | 57.35 | -2.53 | 390 | 1043 |
| Old Rebel Field Colonia | city | Texas | United States | 26.17 | -97.88 | 55 | |
| Old Rebel Heights Colonia Number 1 | city | Texas | United States | 26.19 | -97.88 | 55 | |
| Old Rebel Heights Colonia Number 2 | city | Texas | United States | 26.19 | -97.88 | 55 | |
| Old Red Rock Place | city | California | United States | 38.79 | -123.44 | 1669 | |
| Old Redbank | city | Northern Territory | Australia | -23.50 | 132.82 | 2509 | 0 |
| Old Reed Place | city | Texas | United States | 30.08 | -103.13 | 4189 | |
| Old Request | city | Northern Cape | South Africa | -32.02 | 20.98 | 4189 | 0 |
| Old Reserve Hills | city | Illinois | United States | 41.65 | -88.35 | 830 | |
| Old Retiro | city | Cayo | Belize | 16.72 | -89.14 | 1669 | 715 |
| Old Retrop | city | Oklahoma | United States | 35.15 | -99.34 | 1738 | |
| Old Reveille (historical) | city | Nevada | United States | 38.03 | -116.18 | 7125 | |
| Old Reyno | city | Arkansas | United States | 36.33 | -90.76 | 272 | |
| Old Ripley | city | Illinois | United States | 38.90 | -89.57 | 830 | |
| Old River | city | California | United States | 35.27 | -119.11 | 331 | |
| Old River Community | city | Texas | United States | 29.89 | -94.81 | 26 | |
| Old River Estates | city | South Carolina | United States | 33.85 | -78.64 | 22 | |
| Old River Terrace | city | Texas | United States | 29.78 | -95.13 | 22 | |
| Old River-Winfree | city | Texas | United States | 29.87 | -94.83 | 32 | |
| Old Rizal | city | Northern Samar | Philippines | 12.51 | 124.59 | 72 | 7350 |
| Old Roach | city | Colorado | United States | 40.92 | -106.12 | 9399 | |
| Old Road | city | Saint Mary | Antigua & Barbuda | 17.02 | -61.83 | 3 | 14915 |
| Old Road | city | Saint Thomas Middle Island | St. Kitts & Nevis | 17.32 | -62.80 | 0 | 12599 |
| Old Road Town | city | Saint Mary | Antigua & Barbuda | 17.02 | -61.83 | 3 | 14915 |
| Old Road Town | city | Saint Thomas Middle Island | St. Kitts & Nevis | 17.32 | -62.80 | 0 | 12599 |
| Old Road Village | city | Saint Mary | Antigua & Barbuda | 17.02 | -61.83 | 3 | 14915 |
| Old Robin Hood | city | Queensland | Australia | -18.96 | 143.61 | 1873 | 0 |
| Old Rock Hill | city | Georgia | United States | 31.01 | -83.57 | 252 | |
| Old Rokeby | city | Queensland | Australia | -13.80 | 142.68 | 351 | 0 |
| Old Romney | city | Kent | United Kingdom | 50.98 | 0.88 | 13 | 16297 |
| Old Rondonópolis Airport | airport | -16.45 | -54.66 | 1047 | 0 | ||
| Old Rosa Mori | city | Kebbi | Nigeria | 13.03 | 4.42 | 977 | 4172 |
| Old Rosario | city | Batangas | Philippines | 13.85 | 121.20 | 830 | 42929 |
| Old Roseires | city | Blue Nile | Sudan | 11.88 | 34.38 | 1669 | 3587 |
| Old Ross | city | Wexford | Ireland | 52.39 | -6.82 | 259 | 1933 |
| Old Rothbury | city | New South Wales | Australia | -32.75 | 151.33 | 830 | 2783 |
| Old Rotherwood | city | Westmoreland | Jamaica | 18.18 | -77.98 | 1886 | 18198 |
| Old Round Rock (historical) | city | Texas | United States | 30.51 | -97.68 | 830 | |
| Old Royal | city | Washington | United States | 48.18 | -124.46 | 200 | |
| Old Ryland | city | North Yorkshire | United Kingdom | 54.27 | -1.15 | 396 | 2384 |