| West Fork Sandy Branch | rises in S Stokes County and flows S into Sandy Branch. |
| West Fork Shut-in Creek | rises in W Madison County and flows NE to join East Fork Shut-in Creek in forming Shut-in Creek. |
| West Fork Tuckasegee River | rises in W Jackson County at N end of Thorpe Lake and flows NE to enter Tuckasegee River approx. 8 mi. away at the community of Tuckasegee. |
| West Fork Twelvemile Creek | rises in W Union County and flows SE to join East Fork Twelvemile Creek in forming Twelvemile Creek. |
| West Fork [Barkers Creek] | rises in W Jackson County and flows NE to join Middle Fork [Barkers Creek] in forming Barkers Creek. |
| West Fork [Bull Creek] | rises in N Madison County near Bull Creek Gap and flows S to join East Fork [Bull Creek] in forming Bull Creek. |
| West Fork [Dicks Creek] | rises in N Jackson County and flows S to join East Fork [Dicks Creek] in forming Dicks Creek. |
| West Fork [Goose Creek] | rises in NW Pamlico County and flows SE into Goose Creek. |
| West Fork [Jenkins Creek] | rises in N Jackson County and flows S to join East Fork [Jenkins Creek] in forming Jenkins Creek. |
| West Fork [Kirkland Creek] | rises in S Swain County and flows N to join East Fork [Kirkland Creek] in forming Kirkland Creek. |