| 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. |
| Horsefork Mountain | E Haywood County, extends NE from Fall Creek to Grassy Gap. |
| Horselot Cove | central Clay County, S of Evans Ridge. |
| Horsepasture River | rises in S Jackson County and flows SE across SW Transylvania County into South Carolina, where it enters the Toxaway River. |
| Horsepen Bay | a small pocosin near the head of Horse Branch, which see, N Pender County. |
| Horsepen Branch | rises in S Greene County and flows SE into Rainbow Creek. The name appears in local records prior to the Revolution. |
| Horsepen Branch | rises in S Warren County and flows SE into Shocco Creek. |
| Horsepen Creek | rises in NW Columbus County on the Columbus-Robeson-Bladen county lines and flows W into Big Swamp. |
| Horsepen Creek | rises in W Guilford County and flows NE into Reedy Fork Creek. |