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 2019/20
| 5.MFL Bitola | 5.MFL Kumanovo | 5.MFL Prilep |
| Elenik | Borac | Borotino |
| Hajduk | Eurosport-Vardar | Buchin |
| KSK | Klechovce | Garvan |
| Mladost (D) | Kosturnik | Klepach |
| Mladost (GO) | Kumanovo 2012 | Kozara |
| Pelagonija (T) | Orashac | Larin |
| Pelagonija Bel Kamen | Pchinja | Mazhuchushte |
| Pelister (TM) | Sloga (UD) | Mlekar |
| Prilep Siti | ||
| Slavej (V) | ||
| Vardar (D) | ||
| Vogjani |