Some of the clubs on this list are active in youth levels.

(last updated: February 2018)

11 Oktomvri
Aerodrom
AGROS
Albarsa
Alhemichari
Alumina
Astibo
Babi
Balkan
Beli
Birlik (V)
Bunardjik
Butel
Crna Reka (V)
Deljadrovci
Drachevo
FCU-55
Fljamurtari (S)
Gemidjii
Goce Delchev 1973
Ilinden 1955
Ilinden (V)
Jugohrom
Karbinci
Kastrioti
Kochani
Kozhuf (M)
Korzo
Kumanovo
Lepenec
Liria (Zh)
Mazatar
Metalurg
Mirche Acev
Mladost (CD)
Mladost (E)
Mladost (O)
Nova Kolonija
Ohrid Lote
Pobeda
Podmochani
Prparimi (R)
Rabotnik
Rabotnik Djumajlija
Saraj
Silkrat
Shari
Shkendija (A)
Skenderbeu
Sloga (Z)
Strachinca
Talenti PP
Tarinci
Tearca-97
Tri Cheshmi
Trubarevo
Vardar (B)
Vardarski
Vardino
Vaksinca
Zorbas-Pobeda