| Horsepen Point | on Ocracoke Island near the community of Ocracoke, SE Hyde County. |
| Horsepen Swamp | rises in NW Beaufort County and flows SW into Tranters Creek. |
| Horsepen Swamp | rises in W Pitt County and flows SE into Swift Creek. |
| Horseshoe | community in NW Camden County. Settled shortly after 1700 and formerly known as Newfoundland. |
| Horseshoe | community on Deep River in NE Moore County. Named for bend in river. |
| Horseshoe Bend | a bend in Eagle Creek at the SW end of Big Fork Ridge, NW Swain County. |
| Horseshoe Bend | W Swain County in Little Tennessee River. |
| Horseshoe Bend | See Andrews Geyser. |
| Horseshoe Mountain | SE Macon County at the head of Brooks Creek. |
| Horseshoe Neck | a sharp bend in the Yadkin River in W Davidson and E Davie Counties. The neck of land formed by the bend is in Davidson County. Appears on the Collet map, 1770, as Horse-shoe. See also Boone's Cave. |