USAV Spearhead may refer to the following vessels operated by the United States military:
- USAV Spearhead (TSV-1X), is the first ship of the US Army's theater support vessel program (TSV). The Army leased Spearhead from Australian fast ferry builder Incat in October 2002
- USAV Spearhead (JHSV-1), is a Joint High Speed Vessel. Her keel was laid down in July 2010 and she entered service in December 2012
This article includes a list of ships with the same or similar names. If an internal link for a specific ship led you here, you may wish to change the link to point directly to the intended ship article, if one exists.