| Horse Swamp | rises in S Hertford County and flows SE and NE to join Flat Swamp in forming Bear Swamp. |
| Horse Swamp | rises in E Onslow County and flows NW into Little Northeast Creek. |
| Horse Swamp | rises in S Robeson County and flows SW into Aaron Swamp. |
| Horse Swamp Pocosin | E Onslow County between Queens Creek and Little Northeast Creek. |
| Horse Trail Gap | on the McDowell-Yancey county line near the head of Roaring Fork. |
| Horse Trough Mountain | W Montgomery County near Woodrun Creek. |
| Horse's Creek | rises in S Moore County and flows SW into Deep Creek. |
| Horse's Creek | rises in W Moore County and flows NW into Dry Creek. |
| Horsebone Gap | on the Haywood-Jackson county line on the main Balsam Range. The Blue Ridge Parkway passes through or near the gap. Named for the fact that a horse, turned out to graze in the area, died, and his bones lay bleaching in the sun for a number of years. |
| Horsebranch | community in central Pender County on Horse Branch. |