Troublesome Creek is a 23.67 mi (38.09 km) long 3rd order tributary to the Haw River, in Rockingham County, North Carolina.

According to the Geographic Names Information System, it has also been known historically as:[1] Troublesome Creek was the location of Native American activity (Cheraw Indians)[5] in the Middle Archaic period and may have been the location of the first European settlement in Rockingham County, North Carolina.

[6] The watershed was the site of the Troublesome Creek Iron Works, also known as Speedwell Furnace.

Troublesome Creek then flows northeast into Rockingham County and then southeast to meet the Haw River about 5 miles south of Reidsville, North Carolina.

Troublesome Creek drains 55.96 square miles (144.9 km2) of area, receives about 46.5 in/year of precipitation, has a topographic wetness index of 426.23 and is about 42% forested.