6 Top Spa Resorts in North Carolina (2026)

North Carolina is a stunning state with the benefit of both glorious countryside and gorgeous coastline. Stretching from the Appalachian Mountains in the west to the windswept beaches and barrier islands of the Outer Banks in the east, scenic beauty, rich culture and thrilling adventures are all on offer here. Whether you're a nature lover or an outdoor enthusiast, a stay at one of North Carolina's top spa resorts will elevate your experience with soothing wellness treatments, relaxing pools and breathtaking views. From rural retreats to coastal havens, our experts have picked out six of the best to help you decide on your special spa break.

For the views

• The name is a bit of a clue, but it's not until you arrive at Lakeview at Fontana that you appreciate just how good those vistas are! Fresh mountain air and open spaces create the perfect setting for relaxing and unwinding at this rustic-chic getaway. And the therapeutic massages and soaking cabanas high up amongst the trees allow you to reconnect with nature.
• Westglow, just minutes from Blowing Rock, is in a prime position for soaking up beautiful Blue Ridge Mountain views. Housed in a restored Greek Revival mansion, it features sophisticated rooms and original features aplenty. Enjoy a range of treatments at the luxury spa, including massages, Vichy therapies, a sauna, steam room, pool and sun decks with gorgeous vistas.

For the activities

• From daily sunrise yoga to banana boats, jet skis and sunset kayaking, there's plenty to do at Sanderling Resort on the scenic Outer Banks. For the ultimate in relaxation, there are three stunning pools, plus the luxurious spa with its unique treatments and serene backdrop. An elegant coastal escape.
  
• The Ballantyne in Charlotte is a great option if you need to keep the whole family entertained. Kids will love the junior golf lessons, outdoor pool and lawn games, while adults can enjoy an 18-hole golf course, tennis court and gym, plus the award-winning spa with pools, gourmet spa dining, beauty treatments, a sauna, steam room and massages. 

For rural bliss

• Perched atop the south western plateau of North Carolina’s Blue Ridge Mountains, Old Edwards Inn & Spa is a rural delight. Plush spa robes, relaxation lounges and glowing fireplaces set the tone in the soothing spa, while outdoors, adventure awaits with hiking, cycling and glorious waterfalls all around.
  
• Another scenic option set amidst the beauty of the Blue Ridge Mountains is the Inn on Biltmore Estate. It's the perfect location to hike, bike, fish, ride, kayak, try falconry or clay pigeon shoot — all on-site. The superb spa offers everything from Deep Mountain massages to Ultimate Zen body rituals, while outside, the gardens are simply breathtaking.
  

Still not sure? 

• Browse through our full list of accommodations in North Carolina.
• Refine your search to include our recommendations for the 7 Top Resorts in North Carolina or the Top Lodges in North Carolina.
• Alternatively, you could contact one of our friendly Gurus for personalised advice.