| Otter Creek | rises in E Alamance County and flows S into Quaker Scrub Creek. |
| Otter Creek | rises in E Craven County and flows N into Neuse River. |
| Otter Creek | rises in NW Macon County and flows SW into Whiteoak Creek. |
| Otter Creek | rises in N Rutherford County and flows SE into Cove Creek. |
| Otter Creek | rises in E Wilson County and flows E across S Edgecombe County into W Pitt County, where it enters Tar River. |
| Otter Creek | community in N Rutherford County on Cove Creek. A post office was there, 1854-1915. |
| Otter Creek Township | former township in S Edgecombe County, now township no. 9. Earlier known as Autreys Creek Township. |
| Otter Gap | NW Macon County between Long Branch and Otter Creek. |
| Otter Mountain | NW Macon County between Cold Spring Creek and the head of Jane Otter Branch. |
| Otters Knob | See Arturs Knob. |