Town Creek Indian Mound in the context of "Pee Dee River"

Many pre-Columbian cultures in North America were collectively termed "Mound Builders", but the term has no formal meaning. It does not refer to specific people or archaeological culture but refers to the characteristic mound earthworks that indigenous peoples erected for an extended period of more than 5,000 years. The "Mound Builder" cultures span the period of roughly 3500 BCE (the construction of Watson Brake) to the 16th century CE, including the Archaic period (Horr's Island), Woodland period (Caloosahatchee, Adena and Hopewell cultures), and Mississippian period. Geographically, the cultures were present in the region of the Great Lakes, the Ohio River Valley, Florida, and the Mississippi River Valley and its tributary waters. Outlying mounds exist in South Carolina at Santee and in North Carolina at Town Creek.

The first mound building was an early marker of political and social complexity among the cultures in the eastern part of what is now the United States. Watson Brake in Louisiana, constructed about 3500 BCE during the Middle Archaic period, is the oldest known and dated mound complex in North America. It is one of 11 mound complexes from this period found in the Lower Mississippi Valley.These cultures generally had developed hierarchical societies that had an elite. These commanded hundreds or even thousands of workers to dig up tons of earth with the hand tools available, move the soil long distances, and finally, workers to create the shape with layers of soil as directed by the builders. However early mounds found in Louisiana preceded such cultures and were products of hunter-gatherer cultures.