4.MFL (all groups)
| season 2018/19 (active groups only) |
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| 4.MFL Bitola | 4.MFL Gazi Baba | 4.MFL Gostivar |
| Bukovo | Bunardjik RP | Gradec |
| Chagor | Dolno Konjari | Iliria 92 |
| Crna Reka (DCh) | Goce Delchev (S) | Liria (R) |
| DOSK | Indjikovo | Proleter (T) |
| Karamani | Madjari Solidarnost | Sermnova |
| Kosmos | Miladinovci | Vrapchishte |
| KSK | Mralino | |
| Lisolaj | R’zhanichino | 4.MFL Kisela Voda |
| Novaci 2011 | Rashtak | Aerodrom |
| Old Boys | Smiljkovci | Cementarnica 55 |
| Partizan (D) | Pobeda (DL) | |
| Pelagonija (L) | 4.MFL Kavadarci | Slavija |
| Pobeda (I) | Crna Reka (V) | Slavija 19 |
| Poeshevo | Drenovo | SSK Mladinec |
| Strela | Gaber | Titan |
| Svetlost | Edinstvo (T) | Vardar 75 |
| Sirkovo | ||
| 4.MFL Kumanovo | Sopotsko Pole | 4.MFL Prilep |
| Bashkimi 1947 | Crvena Zvezda | |
| Chetirce | 4.MFL Ohrid | Dinamo |
| Junior | Debrca | Ilinden (D) |
| Karposh 93 | Rudar (K) | Junajted |
| Makedonija (A) | Slavej (M) | Kadica |
| Milano | Sveti Petar | Kadino |
| Mladost (DK) | Vapila | Mukos |
| Pobeda (T) | Voska | Obrshani |
| Ran Proizvod | Vulkan | Pelagonija (PR) |
| Rechica | Zlesti | Prilep Siti |
| Proleter (P) | ||
| 4.MFL Probishtip | 4.MFL Radovish | Sloga 1976 (L) |
| Beloshnica | Bobovec | Trizla |
| Creshovo Topche | Goten | Vrbjani |
| Kamenjar | Izveden | |
| Ratavica | Izvor | 4.MFL Skopje |
| Sokol | Raklish | Bashkimi Bashinec |
| Strmosh | Sachevo | Bratstvo (Lj) |
| Zletovica CTT | Sloga (Z) | Butel |
| Serta | Chair | |
| 4.MFL Struga | Napredok 65-Shutka | |
| Belica | 4.MFL Veles | Nju Jork |
| Draslajca | Bashkimi (J) | Nju Stars |
| Iskra | Forca Nova | Shishevo |
| Koroshishta | Gorski | Vlae |
| Lozhani | Ilinden BS | |
| Makedonija (V) | Internacional | 4.MFL Negotino |
| Mornar | Lokomotiva (G) | Mladost (K) |
| Martolci | Napredok (V) | |
| Mladost (V) | Partizan (T) | |
| Sogle | Pobeda (P) | |
| Polet | ||
| Povardarie | ||
| Vardar (B) | ||
| Venec | ||