Abstract: Scanning tunneling microscope (STM) induced luminescence can be used to study various optoelectronic phenomena of single molecules and to understand the fundamental photophysical mechanisms involved. To clearly observe the molecule-specific luminescence, it is important to improve the quantum efficiency of molecules in the metallic nanocavity. In this work, we investigate theoretically the influence of an atomic-scale protrusion on the substrate on the emission properties of a point dipole oriented parallel to the substrate in a silver plasmonic nanocavity by electromagnetic simulations. We find that an atomic-scale protrusion on the substrate can strongly enhance the quantum efficiency of a horizontal dipole emitter, similar to the situation with a protrusion at the tip apex. We also consider a double-protrusion junction geometry in which there is an atomic-scale protrusion on both the tip and the substrate, and find that this geometry does provide significantly enhanced emission compared with the protrusion-free situation, but does not appear to improve the quantum efficiency compared to the mono-protrusion situation either at the tip apex or on the substrate. These results are believed to be instructive for future STM induced electroluminescence and photoluminescence studies on single molecules.