North Carolina Highway 118 is a primary state highway in the U.S. state of North Carolina. It runs east–west from Grifton to Vanceboro.

A two-lane rural highway, it traverses 18.5 miles (29.8 km) through mostly farmland, as it connects the towns of Grifton and Vanceboro.

Established in 1932 as a new primary routing, it initially ran from US 70/NC 10 (now NC 55), in Fort Barnwell, to NC 43, in Vanceboro. Around 1940, it was rerouted to a new western terminus at NC 11, in Grifton. In 1970, it was extended west over an old section of NC 11 and Grifton Hugo Road to its current western terminus of NC 11.