Horses are grazing animals, and their major source of nutrients is good-quality forage from hay or pasture. They can consume approximately 2% to 2.5% of their body weight in dry feed each day. Therefore, a 450-kilogram (990 lb) adult horse could eat up to 11 kilograms (24 lb) of food. Sometimes, concentrated feed such as grain is fed in addition to pasture or hay, especially when the animal is very active. When grain is fed, equine nutritionists recommend that 50% or more of the animal's diet by weight should still be forage.

Horses require a plentiful supply of clean water, a minimum of 10 US gallons (38 L) to 12 US gallons (45 L) per day. Although horses are adapted to live outside, they require shelter from the wind and precipitation, which can range from a simple shed or shelter to an elaborate stable.

Horses require routine hoof care from a farrier, as well as vaccinations to protect against various diseases, and dental examinations from a veterinarian or a specialized equine dentist. If horses are kept inside in a barn, they require regular daily exercise for their physical health and mental well-being. When turned outside, they require well-maintained, sturdy fences to be safely contained. Regular grooming is also helpful to help the horse maintain good health of the hair coat and underlying skin.