28.05.2023 at 17.00 CET:

Boris Trajkovski stadium in Skopje
Osogovo – Teteks 1:6

Gradski stadium in Tetovo
Bashkimi 1947 – Vlazerimi J 3:0

Gradski stadium in Kichevo
Novaci – Vardar (N) 1:1 (2:3 p.s.o.)

The winners are promoted to the 2.MFL 2023/24.

The losers entered a draw where two lucky teams got rewarded with promotion. Those teams are Osogovo and Novaci.