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