[citation needed] Big Ugly Creek is a meandering stream stretching nearly 20 miles from U.S. Route 119 northeast of Chapmanville in Boone County to where it meets the Guyandotte River at Gill, an extinct railroad town north of Harts in Lincoln County.

Big Ugly Creek is also at the southern end of the state's largest mountaintop removal mine, Arch Coal's Hobet 21.

The mine stretches nearly 15 miles from near Julian, north of Madison in Boone County to right above the end of Fawn Hollow, which joins Big Ugly, not far from the Big Ugly Community Center.

Big Ugly Creek has frequently been noted on lists of unusual place names.

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