| Horse Shoe | community in W Henderson County. Named because it is situated in a sharp bend in French Broad River. Alt. 2,083. |
| Horse Shoe Mountain | W Henderson County between Johnsons Mill Creek and French Broad River. Alt. 2,775. |
| 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. |