North Carolina is about 1.9 times smaller than Ghana.

Ghana is approximately 238,533 sq km, while North Carolina is approximately 126,161 sq km, making North Carolina 52.89% the size of Ghana. Meanwhile, the population of Ghana is ~33.1 million people (23.6 million fewer people live in North Carolina).
Tip: This to-scale comparison of Ghana vs. North Carolina uses the Mercator projection, which distorts the size of regions near the poles.