Needles and Pins may refer to:
- "Needles and Pins" (nursery rhyme), a children's nursery rhyme
- "Needles and Pins" (song), a song written by Jack Nitzsche and Sonny Bono, made famous by The Searchers
- "Needles and Pins", a song by Deftones from their self-titled album
- Needles and Pins (TV series), an American TV series
- Needles and Pins, a British TV documentary series focused on global tattoo culture.
- A form of paresthesia
See also
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