The calculated distance (air line) between Medzilaborce and Ružomberok is approximately 118 miles respectively 190 kilometers.
By car or train, the actual journey to Ružomberok is certainly longer, as only the direct route (as the crow flies) between Medzilaborce and Ružomberok has been calculated here.
Air line (approximately)
190 kilometers
102 nautical miles