5.MFL (all groups)
The fifth level is the lowest in the Macedonian football league system. Only Bitola, Kumanovo and Prilep have a competition in this level.
season 2018/19
| 5.MFL Bitola | 5.MFL Kumanovo | 5.MFL Prilep |
| Elenik | Borac | Borotino |
| Hajduk | Klechovce | Chepigovo |
| Jeni-Maale | Kosturnik | Galichani |
| Mladost (D) | Kozjak | Garvan |
| Mladost (GO) | Orashac | Kanatlarci |
| Napredok (N) | Pchinja | Klepach |
| Pelagonija (BK) | Kozara | |
| Pelagonija (D) | Larin | |
| Pelagonija (T) | Mlekar | |
| Pelister (TM) | Slavej | |
| Vogjani | ||
| Vlaznimi Junior |