30.05.2024, 16.30 CET
Boris Trajkovski stadium in Skopje
R’zhanichino – New Stars 2:1

30.05.2024, 16.30 CET
Kadino stadium in Skopje
Pchinja – Studeniçan 1:1 (4:2 p.s.o.)

The winners got promoted to the 3.MFL North. The losers decided on the last promotion spot:

02.06.2024, 16.30 CET
Boris Trajkovski stadium in Skopje
Studeniçan – New Stars 1:2