| Horsepen Pocosin | a sandy pocosin in SW Gates County. Alt. 28. |
| Horsepen Point | SE Carteret County, extends from Core Banks into Core Sound. |
| 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. |