Belasica and Sloga 1934 remain perfect thanks to defeating Osogovo and Bregalnica Golak, while Napredok Radovo lost away to Babi.
Babi – Napredok Radovo 3:0
Sasa – Astibo 3:3
Sloga 1934 – Bregalnica Golak 3:1
Cheshinovo – Trkanja 3:1
Rabotnik Djumajlija – Plachkovica 3:3
Karbinci – Rudar 1:1
Osogovo – Belasica 0:3
| Pl. | W | D | L | +/- | P | |||
| Belasica | 4 | 4 | 0 | 0 | 17:1 | 12 | play-off | |
| Sloga 1934 | 4 | 4 | 0 | 0 | 11:5 | 12 | ||
| Babi | 4 | 3 | 1 | 0 | 8:2 | 10 | ||
| Napredok Radovo | 4 | 3 | 0 | 1 | 9:6 | 9 | ||
| Osogovo | 4 | 2 | 0 | 2 | 8:7 | 6 | ||
| Cheshinovo | 4 | 2 | 0 | 2 | 9:10 | 6 | ||
| Bregalnica Golak | 4 | 2 | 0 | 2 | 6:9 | 6 | ||
| Plachkovica | 4 | 1 | 3 | 0 | 7:5 | 5 | ||
| Sasa | 4 | 1 | 2 | 1 | 6:6 | 5 | ||
| Karbinci | 4 | 0 | 2 | 2 | 2:8 | 2 | ||
| Astibo | 4 | 0 | 1 | 3 | 4:8 | 1 | relegation | |
| Rudar | 3 | 0 | 1 | 2 | 4:10 | 1 | relegation | |
| Rabotnik Djumajlija | 3 | 0 | 1 | 2 | 6:13 | 1 | relegation | |
| Trkanja | 4 | 0 | 0 | 4 | 3:10 | 0 | relegation | |
* From next season all 3rd Leagues will feature 12 teams, so this season more teams will get relegated
Round 5 is scheduled for 15 September 2013 at 16.00 CET:
Belasica vs. Babi
Rudar vs. Osogovo
Plachkovica vs. Karbinci
Trkanja vs. Rabotnik Djumajlija
Bregalnica Golak vs. Cheshinovo
Astibo vs. Sloga 1934
Napredok Radovo vs. Sasa