Wins for all three promotion fighters, exciting game with 7 goals in Struga between Karaorman and Rabotnik.
Mladost Carev Dvor – Veleshta 3:2
Strela Sport – Vardino 1:2
Kravari – Korabi 3:1
Prespa – Labunishta 2:1
Vulkan – Vranishta 2:0
Liria Zagrachani – Poeshevo 3:1
Vlaznimi – Mogila 3:0
Karaorman – Rabotnik 4:3
| MP | W | D | L | +/- | P | ||
| Mladost Carev Dvor | 18 | 14 | 2 | 2 | 49:14 | 44 | |
| Prespa | 18 | 13 | 2 | 3 | 56:20 | 41 | play-off |
| Vulkan | 18 | 13 | 2 | 3 | 42:19 | 41 | |
| Karaorman | 18 | 10 | 2 | 6 | 46:32 | 32 | |
| Veleshta | 18 | 10 | 1 | 7 | 37:31 | 31 | |
| Korabi | 18 | 10 | 0 | 8 | 39:33 | 30 | |
| Kravari | 18 | 9 | 1 | 8 | 32:49 | 28 | |
| Vlaznimi | 18 | 8 | 3 | 7 | 35:22 | 27 | |
| Liria Zagrachani | 18 | 7 | 3 | 8 | 24:26 | 24 | |
| Vranishta | 18 | 7 | 2 | 9 | 31:30 | 23 | (relegation) |
| Mogila | 18 | 6 | 3 | 9 | 25:37 | 21 | relegation |
| Poeshevo | 18 | 6 | 2 | 10 | 30:47 | 20 | relegation |
| Vardino | 18 | 6 | 1 | 11 | 21:36 | 19 | relegation |
| Labunishta | 18 | 5 | 1 | 12 | 34:38 | 16 | relegation |
| Rabotnik | 18 | 3 | 2 | 13 | 22:47 | 11 | relegation |
| Strela Sport | 18 | 3 | 1 | 14 | 13:55 | 10 | relegation |
* 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 (Novaci) that in case of relegation will join the South-West.
Round 19 is scheduled for 23 March at 15.00 CET:
Poeshevo vs. Vulkan (22nd)
Karaorman vs. Strela Sport
Rabotnik vs. Vlaznimi
Mogila vs. Liria Zagrachani
Vranishta vs. Mladost Carev Dvor
Veleshta vs. Prespa
Labunishta vs. Kravari
Korabi vs. Vardino