Two games were postponed due to heavy rain, Osogovo destroyed Rudar, Sasa and Napredok shared the points in an interesting game.
Babi – Belasica postponed due to bad weather
Osogovo – Rudar 6:0
Karbinci – Plachkovica 1:1
Rabotnik Djumajlija – Trkanja postponed due to bad weather
Cheshinovo – Bregalnica Golak 0:1
Sloga 1934 – Astibo 2:1
Sasa – Napredok Radovo 2:2
| Pl. | W | D | L | +/- | P | |||
| Belasica | 17 | 15 | 1 | 1 | 59:8 | 46 | play-off | |
| Sloga 1934 | 18 | 13 | 2 | 3 | 37:20 | 41 | ||
| Napredok Radovo | 18 | 11 | 1 | 7 | 43:26 | 34 | ||
| Osogovo | 18 | 10 | 3 | 5 | 43:25 | 33 | ||
| Bregalnica Golak | 18 | 10 | 3 | 5 | 27:23 | 33 | ||
| Plachkovica | 18 | 8 | 5 | 5 | 31:27 | 28 | ||
| Babi | 17 | 10 | 3 | 4 | 31:15 | 27 | -6 | |
| Cheshinovo | 18 | 7 | 0 | 11 | 36:48 | 21 | ||
| Sasa | 18 | 5 | 5 | 8 | 29:34 | 20 | ||
| Rabotnik Djumajlija | 17 | 6 | 2 | 9 | 31:45 | 20 | (relegation) | |
| Trkanja | 17 | 5 | 3 | 9 | 26:31 | 15 | relegation | -3 |
| Karbinci | 18 | 4 | 2 | 12 | 16:45 | 14 | relegation | |
| Astibo | 18 | 2 | 3 | 13 | 22:44 | 9 | relegation | |
| Rudar | 18 | 1 | 2 | 15 | 17:57 | 2 | relegation | -3 |
* From next season, all 3rd Leagues will feature 12 teams, so more teams will be relegated this campaign. The precise number of relegated teams will be known after the conclusion of the Second League as it depends how many teams from there will be relegated into each third league. Currently in the Second League, there is 1 team (Tiverija) that in case of relegation will join the East.
Round 19 is scheduled for 12/13 April at 16.00 CET:
Rudar vs. Belasica (12th)
Sasa vs. Babi
Napredok Radovo vs. Sloga 1934
Astibo vs. Cheshinovo
Bregalnica Golak vs. Rabotnik Djumajlija
Trkanja vs. Karbinci
Plachkovica vs. Osogovo