5.MFL (all groups) - Macedonian Football
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) | |