Spectacle in Vinica where in the local derby Sloga 1934 outplayed Osogovo, while Trkanja got relegated.
Rabotnik Djumajlija – Babi 5:1
Cheshinovo – Karbinci 2:2
Sloga 1934 – Osogovo 4:1
Sasa – Belasica 0:2
Napredok Radovo – Rudar 7:2
Astibo – Plachkovica 1:4
Bregalnica Golak – Trkanja 6:1
| Pl. | W | D | L | +/- | P | |||
| Belasica | 25 | 22 | 1 | 2 | 78:14 | 67 | play-off | |
| Sloga 1934 | 25 | 19 | 2 | 4 | 62:28 | 59 | ||
| Napredok Radovo | 25 | 16 | 1 | 9 | 65:34 | 49 | ||
| Osogovo | 25 | 15 | 3 | 7 | 60:33 | 48 | ||
| Bregalnica Golak | 25 | 15 | 3 | 7 | 54:28 | 48 | ||
| Plachkovica | 25 | 12 | 6 | 7 | 44:38 | 41 | ||
| Babi | 25 | 13 | 3 | 9 | 43:32 | 36 | -6 | |
| Sasa | 25 | 9 | 5 | 11 | 42:41 | 32 | ||
| Rabotnik Djumajlija | 25 | 9 | 2 | 14 | 42:62 | 29 | ||
| Cheshinovo | 25 | 8 | 1 | 16 | 47:69 | 25 | (relegation) | ** |
| Trkanja | 25 | 7 | 4 | 14 | 34:50 | 22 | (relegation) | *-3 |
| Astibo | 25 | 4 | 3 | 18 | 26:61 | 15 | relegated | |
| Karbinci | 25 | 4 | 3 | 18 | 21:73 | 15 | relegated | |
| Rudar | 25 | 3 | 2 | 20 | 28:83 | 8 | 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.
* Tiverija got relegated from Second League.
** This place depends on whether Belasica will get promoted through the play-offs or will fail.
The season ends with Round 26 scheduled for 23/25 May at 17.00 CET:
Belasica vs. Sloga 1934 (23rd)
Babi vs. Bregalnica Golak
Trkanja vs. Astibo
Plachkovica vs. Napredok Radovo
Rudar vs. Sasa
Osogovo vs. Cheshinovo
Karbinci vs. Rabotnik Djumajlija