Setch may refer to:
- Setch or Setchey, a village now part of West Winch in King's Lynn and West Norfolk
 - Setch., taxonomic author abbreviation for William Albert Setchell (1864–1943), American botanist
 - Terry Setch (born 1936), British painter
 
See also
- Setsch, the German name of Seč, Kočevje, an abandoned settlement in Slovenia
 - Sech (disambiguation)
 
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