Pulled pork is an American barbecue technique of cooking pork meat slowly over low heat, resulting in tender meat that can easily be pulled into small pieces. It is a specialty that originates from the western part of North Carolina, traditionally using shoulder cuts of pork which are dressed with a vinegar, pepper, and tomato sauce.

North Carolina barbecue can be split into two halves – in the east, they use the whole hog, while in the west, also known as Lexington-style barbecue, smokes only the pork shoulder. Eastern barbecue is usually chopped with a vinegar-and-spices-based sauce, while Lexington-style is typically used for sandwiches with a tomato-based sauce.

Calabash-style seafood is a traditional buffet-style dish originating from Calabash in North Carolina. This feast is typically prepared in Calabash seafood restaurants. The seafood such as fish, crab, shrimp, oysters, mussels, and clams is lightly breaded, fried until golden, then served buffet-style with hushpuppies and honey butter as a traditional accompaniment.

Carolina-style hot dogs consist of hot dog sausages in a split bread roll. They are characterized by an established set of condiments including slaw, onions, and chili. The hot dogs are sometimes topped with mustard which either acts as a substitute for slaw or can be added as a fourth condiment.

Moravian spice cookies are traditional cookies usually associated with Winston-Salem, North Carolina. This descendent of the German lebkuchen is made with a combination of powerful spices and molasses. The end result is a very thin and crisp cookie that has a reputation of "the World's thinnest cookie".

Chocolate Lab is an American cheese hailing from Fairview, where it's produced by Looking Glass Creamery. The cheese is made from pasteurized cow's milk. The red rind is washed every other day with a brine solution. The texture is very firm, the aromas are rich, and the flavors are sharp, pungent, and sweet.

Livermush is an American dish that's believed to originate from North Carolina. It consists of slices of livermush (a product made with pig liver, head, and cornmeal, spiced with sage and pepper) that are fried until golden brown. When served for breakfast, livermush is often accompanied by eggs and grits, but it can also be served for lunch or dinner.

Providence is an American taleggio-style cheese hailing from North Carolina. This semi-soft cheese is made from pasteurized goat's milk and it's left to age for 3 months. During the maturation period, the cheese is brushed and hand-turned, while its rind is washed and develops a hard exterior.

Red slaw is a regional version of coleslaw, originating from North Carolina. Also known as barbecue slaw, it's traditionally made with a combination of shredded green cabbage, water, vinegar, sugar, and ketchup, which gives the salad a reddish hue.