Another heavy defeat for Sloga 1934, Tiverija managed to get a point at Plachkovica’s, while two games were postponed as some teams have players in the amateur national team.
Napredok Radovo – Rabotnik Djumajlija 2:0
Osogovo – Bregalnica Golak postponed*
Plachkovica – Tiverija 0:0
Sloga 1934 – Babi 0:3
Belasica – Ovche Pole postponed*
Sasa – 14 Oktomvri 1946 3:2
* the postponed games will be played on 24 September
| MP | W | D | L | +/- | P | |||
| Plachkovica | 4 | 3 | 1 | 0 | 12:1 | 10 | play-off | |
| Belasica | 3 | 3 | 0 | 0 | 14:2 | 9 | ||
| Osogovo | 3 | 2 | 1 | 0 | 7:3 | 7 | ||
| Napredok Radovo | 4 | 2 | 1 | 1 | 5:3 | 7 | ||
| Sasa | 4 | 2 | 1 | 1 | 10:11 | 7 | ||
| Babi | 4 | 2 | 0 | 2 | 7:6 | 6 | ||
| Bregalnica Golak | 3 | 2 | 0 | 1 | 4:3 | 6 | ||
| Ovche Pole | 3 | 1 | 1 | 1 | 7:5 | 4 | ||
| Tiverija | 4 | 1 | 1 | 2 | 2:4 | 4 | ||
| Sloga 1934 | 4 | 1 | 0 | 3 | 4:11 | 3 | ||
| Rabotnik Djumajlija | 4 | 0 | 0 | 4 | 2:8 | 0 | relegation | |
| 14 Oktomvri 1946 | 4 | 0 | 0 | 4 | 3:20 | 0 | relegation | |
Round 5 is scheduled for 21 September at 15.30 CET:
14 Oktomvri 1946 vs. Napredok Radovo
Ovche Pole vs. Sasa
Babi vs. Belasica
Tiverija vs. Sloga 1934
Bregalnica Golak vs. Plachkovica
Rabotnik Djumajlija vs. Osogovo