Vlaznimi beat Karaorman to claim the Derby of Struga, leaders Mladost humiliated Poeshevo, Vulkan defeated Mogila.
Vardino – Labunishta 0:1
Mladost Carev Dvor – Poeshevo 7:0
Strela Sport – Korabi 2:5
Kravari – Veleshta 3:1
Prespa – Vranishta 3:1
Vulkan – Mogila 3:0
Liria Zagrachani – Rabotnik 6:0
Vlaznimi – Karaorman 3:1
| MP | W | D | L | +/- | P | ||
| Mladost Carev Dvor | 20 | 16 | 2 | 2 | 58:15 | 50 | play-off |
| Vulkan | 20 | 15 | 2 | 3 | 48:20 | 47 | |
| Prespa | 20 | 14 | 2 | 4 | 60:24 | 44 | |
| Korabi | 20 | 12 | 0 | 8 | 48:36 | 36 | |
| Karaorman | 20 | 11 | 2 | 7 | 60:35 | 35 | |
| Veleshta | 20 | 11 | 1 | 8 | 41:35 | 34 | |
| Vlaznimi | 20 | 10 | 3 | 7 | 41:24 | 33 | |
| Kravari | 20 | 10 | 1 | 9 | 35:53 | 31 | |
| Liria Zagrachani | 20 | 8 | 3 | 9 | 30:28 | 27 | |
| Mogila | 20 | 7 | 3 | 10 | 27:40 | 24 | (relegation) |
| Vranishta | 20 | 7 | 2 | 11 | 33:35 | 23 | relegation |
| Labunishta | 20 | 7 | 1 | 12 | 38:38 | 22 | relegation |
| Poeshevo | 20 | 6 | 2 | 12 | 31:57 | 20 | relegation |
| Vardino | 20 | 6 | 1 | 13 | 22:41 | 19 | relegation |
| Rabotnik | 20 | 3 | 2 | 15 | 23:56 | 11 | relegation |
| Strela Sport | 20 | 3 | 1 | 16 | 15:73 | 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 21 is scheduled for 5/6 April at 16.00 CET:
Poeshevo vs. Prespa (5th)
Vlaznimi vs. Strela Sport
Karaorman vs. Liria Zagrachani
Rabotnik vs. Vulkan
Mogila vs. Mladost Carev Dvor
Vranishta vs. Kravari
Veleshta vs. Vardino
Labunishta vs. Korabi