AnswerElkader, Iowa, is the only U.S. city with a sister in what country? Last updated: 2021/11/14 at 12:01 PM By RockedBuzz 0 Min Read Share SHARE Elkader, Iowa, is the only U.S. city with a sister in what country?India Algeria Brazil Finland The Answer: The correct answer is Algeria. Share This Article Facebook Twitter Pinterest Whatsapp Whatsapp Reddit Telegram Copy Link Previous Article Which brand of sneakers was popularized by the hip-hop group Run-DMC? Next Article Who was the last pharaoh of Egypt?