A multi-needle paddle lead introducer includes a needle assembly, a hub assembly, and a sheath. The needle assembly includes at least one primary needle and at least one secondary needle. The secondary needle is coupled to the primary needle along a portion of the longitudinal length of the needle assembly such that the primary needle and the secondary needle are arranged in a side-by-side configuration. The secondary needle is configured and arranged to move relative to the primary needle along the longitudinal length of the needle assembly. The hub assembly includes a primary needle hub coupled to a proximal end portion of the primary needle and a secondary needle hub coupled to a proximal end portion of the primary needle. The sheath is configured and arranged for disposing over a portion of an outer surface of the needle assembly and for sliding along the longitudinal length of the needle assembly.