| East Fork Crabtree Creek | rises in S Mitchell County and flows NW into Crabtree Creek. |
| East Fork Creek | rises in E Beaufort County and flows S into Pamlico River. |
| East Fork Deep River | rises in W Guilford County and flows SE into High Point Lake, where it joins West Fork Deep River in forming Deep River. |
| East Fork French Broad River | rises in S Transylvania County and flows SW and NW into French Broad River. |
| East Fork Gap | E Haywood County on the head of Garden Creek. |
| East Fork Grassy Creek | rises in S Mitchell County and flows NW to join Middle Fork Grassy Creek in forming Grassy Creek. |
| East Fork Lake | in central Jackson County on Tuckasegee River. Formed in 1955 to be a reservoir for Nantahala Power and Light Company. Combines with Wolf Creek Lake, which see, to generate hydroelectric power. Covers 40 acres, with max. depth of 120 ft. Shoreline is 3.2 mi. Named for East Fork of Tuckasegee River, an old name for the Tuckasegee River. |
| East Fork Overflow Creek | rises in SE Macon County and flows SW to join West Fork Overflow Creek in forming Overflow Creek. |
| East Fork Pigeon River | rises in SW Haywood County near the Transylvania County line and flows N to join West Fork Pigeon River in forming Pigeon River. Known by the Cherokee Indians as Junietta. |
| East Fork Shut-in Creek | rises in W Madison County and flows NW to join West Fork Shut-in Creek in forming Shut-in Creek. |