| 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. |
| Horseshoe Ridge | S Swain County between Dark Branch and Davis Branch. |
| Horseshoe Rock | peak on the SW end of Wolf Mountain, E Jackson County. |
| Horseshoe, The | bend in Nantahala River, W Macon County. |
| Horseshoe, The | a ridge parallel to a deep bend in Hazel Creek, W Swain County. |
| Horsetrough Ridge | NE Swain County in Great Smoky Mountains National Park, a spur extending SW from Overlook Ridge between Heintooga Creek and Selma Creek. |
| Horseway Swamp | rises in E Pitt County and flows NE into Beaufort County, where it enters Chicod Creek. |
| Horton Bay | N central Carteret County behind Horton Point near the mouth of South River. |
| Horton Branch | rises in N Cherokee County and flows SW into Beaverdam Creek. |