| Little Dugger Creek | rises in SE Watauga County and flows SE into Wilkes County, where it enters Dugger Creek. |
| Little Dugger Mountain | SE Watauga County near the head of Little Dugger Creek. |
| Little Ease Creek | a bay on the N side of Pamlico River, E Beaufort County. |
| Little East Fork Pigeon River | rises in S Haywood County and flows NW into West Fork Pigeon River. |
| Little Elk Creek | rises in W Alleghany County and flows N into Elk Creek. |
| Little Elk Creek | rises in SW Avery County and flows NE into Elk River. |
| Little Elk Knob | N Graham County between Tuskeegee Creek and Sawyer Creek. |
| Little Elk Mountain | central Avery County. |
| Little Elk Ridge | central Avery County. |
| Little Elkin River | rises in NE Wilkes County and flows SE into Yadkin River. |