Confirmed participants:

Sloga 1934 (3.MFL East)
Shkëndija 77 (3.MFL North)
Teteks (3.MFL West)
Prespa (3.MFL Southwest)
Osogovo (2.MFL)
Golemo Konjari (3.MFL South)

Three pairs will be formed by drawing lots. All matches will be played as one leg on a same day in different grounds.

The winners will be promoted to 2.MFL season 2025/26. Two lucky losers will also be promoted. It will be decided by drawing lots.