Z
- (Romenskyi Raion) Zaruddia
- (Romenskyi Raion) Zinove
- (Romenskyi Raion) Zelenyi Hai
- (Sumskyi Raion) Zamost’ye
- (Romenskyi Raion) Zahrebellia
- (Romenskyi Raion) Zarichchia
- (Romenskyi Raion) Zhytne
- (Romenskyi Raion) Zalatykha
- (Sumskyi Raion) Zelenyi Hai
- (Sumskyi Raion) Zakumske
- (Romenskyi Raion) Zelene
- (Romenskyi Raion) Zasullia
- (Sumskyi Raion) Zarichne
- (Konotops’ka Mis’krada) Zhary
- (Shostkyns’ka Mis’krada) Zhalkivshchyna
- (Romenskyi Raion) Zelenkivka
- (Shostkyns’ka Mis’krada) Zeleny Gay
- (Sumskyi Raion) Zelene
- (Konotops’ka Mis’krada) Zemlianka
- (Shostkyns’ka Mis’krada) Zemlianka
- (Konotops’ka Mis’krada) Zozulyne
- (Konotops’ka Mis’krada) Zholdaky
- (Sumskyi Raion) Zalizniak
- (Okhtyrskiy Rayon) Zhyhailivka
- (Shostkyns’ka Mis’krada) Zhykhove
- (Romenskyi Raion) Zasul’ye
- (Konotops’ka Mis’krada) Zhukov
- (Konotops’ka Mis’krada) Zhukivka
- (Sumskyi Raion) Zhuravka
- (Shostkyns’ka Mis’krada) Zhuravka