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