The fifth level is the lowest in the Macedonian football league system. Only Bitola, Kumanovo and Prilep have a competition in this level. However, as last season did not finish due to the COVID-19 pandemic, Bitola decided to promote all 5th league teams so this season there won’t be this level.

season 2020/21

5.MFL Bitola 5.MFL Kumanovo 5.MFL Prilep
/ Borac Group 1 Group 2
/ Eurosport-Vardar Kadino (P) Borotino
/ Klechovce Mazhuchishte Vogjani
/ Kosturnik Mlekar Garvan
/ Kumanova-Milano 2010 Prilep Siti Klepach
/ Orashac Slavej (V) Kozara
/ Sloga (UD) Pelagonija (PR)