| Horton Branch | rises in S Watauga County and flows SE into Joe Creek. |
| Horton Creek | rises in W Yancey County and flows E into Indian Creek. |
| Horton Hill | N Yancey County between Bee Branch and Sidney Hill. |
| Horton Knob | N Macon County between Allen Branch and Rose Creek. |
| Horton Point | N central Carteret County on E shore of South River near its mouth. |
| Hoskin Fork | rises in NW Watauga County and flows N into SW Ashe County, where it enters North Fork New River. |
| Hoskins Point | See Palmetto Point. |
| Hosley Branch | See Hostler Branch. |
| Hostler Branch | rises in W Caswell County and flows E into County Line Creek. Appears as Hosley Branch on early maps of the county. |
| Hot House Branch | rises in central Hertford County and flows NW into Potecasi Creek. |