Middle Island Creek is a river, 77 miles (124 km) long, in northwestern West Virginia in the United States. It is a tributary of the Ohio River, draining an area of 565 square miles (1,463 km²) on the unglaciated Allegheny Plateau. It is the longest stream in West Virginia to be named a "creek." The stream is named for Middle Island, which is located in the Ohio River at its mouth.
thumbthumbMiddle Island Creek is formed at the community of Smithburg in Doddridge County by the confluence of Meathouse Fork and Buckeye Creek. It flows generally northwestwardly in a highly meander course through Doddridge and Tyler Counties, past the towns of West Union and Middlebourne. From Middlebourne the creek turns to the southwest and flows roughly parallel to the Ohio River (excepting its numerous bends) as it enters Pleasants County, where it joins the Ohio in St. Marys. The lowermost 12 miles (19 km) of the creek are inundated by backup from the Willow Island Locks and Dam downstream on the Oh (from [www.wikipedia.org](http://www.wikipedia.org/wiki/Middle_Island_Creek).