Thousand Needles is a region south of the Barrens, east of Feralas, and north of Tanaris. It is the only land trade route to Gadgetzan. It is Horde territory, but Alliance members have been allowed to freely travel as tag-along members of neutral parties. On the western border of Thousand Needles is Kershwin Post.

The Great Lift is at the border between Thousand Needles and the Barrens. It is operated by the Horde who charge a toll on it. It is the only safe route up or down the 200 foot cliff that separates the regions.