Elk Creek is a tributary of the West Fork River, long, in north-central West Virginia, USA. Via the West Fork, Monongahela and Ohio Rivers, it is part of the watershed of the Mississippi River, draining an area of on the unglaciated portion of the Allegheny Plateau. The stream is believed to have been named by an 18th-century trapper and hunter named John Simpson, who encountered herds of elk along the stream.
