| Cow Branch | rises in W Jackson County and flows S into Middle Creek. |
| Cow Branch | rises in NW Columbus County and flows SW into Porter Swamp. |
| Cow Branch | rises in N Burke County and flows N into Avery County, where it enters Linville River. |
| Cow Camp Branch | rises in central Avery County and flows N into North Toe River. |
| Cow Camp Creek | rises in central Avery County and flows N into Kentucky Creek. |
| Cow Camp Gap | near head of Cow Camp Creek in central Avery County. |
| Cow Creek | rises in NW McDowell County and flows SE into Armstrong Creek. |
| Cow Creek | rises in the highlands of Garrenton's Island in E Camden County and flows E into North River. |
| Cow Gallus Creek | rises in E Pamlico County and flows E into Long Creek. |
| Cow Hole Branch | rises in N Duplin County and flows S into Goshen Swamp. |