Belasica beat Bregalnica Golak with a come from behind win, Rudar celebrated its second win, while Sasa won important 3 points in Lozovo.
Babi – Plachkovica 1:3
Rudar – Trkanja 4:3
Belasica – Bregalnica Golak 2:1
Osogovo – Astibo postponed
Karbinci – Napredok Radovo 0:3
Rabotnik Djumajlija – Sasa 0:1
Cheshinovo – Sloga 1934 0:2
* Round 17 game Astibo – Sasa 4:3 has been awarded 3:0 to the visitors as the home team fielded 4 ineligible players.
| Pl. | W | D | L | +/- | P | |||
| Belasica | 22 | 19 | 1 | 2 | 70:13 | 58 | play-off | |
| Sloga 1934 | 22 | 16 | 2 | 4 | 45:25 | 50 | ||
| Napredok Radovo | 22 | 15 | 1 | 7 | 58:29 | 46 | ||
| Bregalnica Golak | 22 | 13 | 3 | 6 | 41:25 | 42 | ||
| Osogovo | 21 | 12 | 3 | 6 | 52:28 | 39 | ||
| Babi | 22 | 12 | 3 | 7 | 38:23 | 33 | -6 | |
| Plachkovica | 21 | 9 | 5 | 7 | 35:36 | 31 | ||
| Sasa | 22 | 8 | 5 | 9 | 38:36 | 29 | ||
| Rabotnik Djumajlija | 22 | 7 | 2 | 13 | 33:56 | 23 | ||
| Trkanja | 22 | 7 | 3 | 12 | 33:42 | 21 | (relegation) | -3 |
| Cheshinovo | 22 | 7 | 0 | 15 | 39:62 | 21 | relegation | |
| Astibo | 21 | 4 | 3 | 14 | 23:46 | 15 | relegation | |
| Karbinci | 22 | 4 | 2 | 16 | 17:58 | 14 | relegation | |
| Rudar | 21 | 2 | 2 | 17 | 23:66 | 5 | relegated | -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 23 is scheduled for 4 May at 16.30 CET:
Cheshinovo vs. Babi
Sloga 1934 vs. Rabotnik Djumajlija
Sasa vs. Karbinci
Napredok Radovo vs. Osogovo
Astibo vs. Belasica
Bregalnica Golak vs. Rudar
Trkanja vs. Plachkovica