| Little Hogback Mountain | on the Jackson-Macon county line. |
| Little Hope Creek | rises in SW Mecklenburg County and flows SE into Little Sugar Creek. |
| Little Horse Creek | rises near Pond Mountain in NW Ashe County and flows SE into Horse Creek. |
| Little Horse Creek | rises in W Avery County and flows SE into North Toe River. |
| Little Hoyles Creek | rises in N Gaston County and flows S into Hoyles Creek. |
| Little Hubquarter Creek | rises in E Warren County and flows N into Hubquarter Creek. |
| Little Huckleberry Knob | W Graham County between Huckleberry Knob and Doc Stewart Ridge. Alt. approx. 5,380. |
| Little Hump Mountain | on the Avery County, N.C.-Carter County, Tenn., line. |
| Little Hungry Creek | rises in E Henderson County and flows SW into Hungry River. |
| Little Hunting Creek | rises in S Wilkes County and flows SE into Hunting Creek. |