Z
- (Okhtyrskiy Rayon) Zubivka
- (Romenskyi Raion) Zaklymok
- (Romenskyi Raion) Zakroivshchyna
- (Konotops’ka Mis’krada) Zhyhailivka
- (Konotops’ka Mis’krada) Zaliznychne
- (Shostkyns’ka Mis’krada) Zelena Dibrova
- (Konotops’ka Mis’krada) Zarichchia
- (Konotops’ka Mis’krada) Zahorivka
- (Konotops’ka Mis’krada) Zhabkyne
- (Shostkyns’ka Mis’krada) Zaruchina
- (Okhtyrskiy Rayon) Zholoby
- (Romenskyi Raion) Zaizd
- (Okhtyrskiy Rayon) Zarichne
- (Okhtyrskiy Rayon) Zaluzhany
- (Okhtyrskiy Rayon) Zhovtnevyy
- (Okhtyrskiy Rayon) Zhily
- (Sumskyi Raion) Zemliane
- (Sumskyi Raion) Zavod
- (Sumskyi Raion) Zelena Roshcha
- (Sumskyi Raion) Zakharivske
- (Sumskyi Raion) Zagreblya
- (Sumskyi Raion) Zatsarne
- (Romenskyi Raion) Zalutske
- (Okhtyrskiy Rayon) Zavodske
- (Sumskyi Raion) Zaliznychne
- (Okhtyrskiy Rayon) Zalisne
- (Okhtyrskiy Rayon) Zakabluky
- (Romenskyi Raion) Zelena Balka
- (Romenskyi Raion) Zakubanka
- (Romenskyi Raion) Ziuziuky