Vulkan lost away to Vlaznimi allowing Mladost Carev Dvor to escape on plus 6 at the top.
Rabotnik – Prespa 0:6
Liria Zagrachani – Strela Sport 5:1
Vlaznimi – Vulkan 1:0
Karaorman – Mladost Carev Dvor 0:1
Mogila – Kravari 3:2
Vranishta – Korabi 4:2
Veleshta – Labunishta 2:0
Poeshevo – Vardino 3:2
| MP | W | D | L | +/- | P | |||
| Mladost Carev Dvor | 23 | 19 | 2 | 2 | 70:16 | 59 | play-off | |
| Vulkan | 23 | 17 | 2 | 4 | 55:24 | 53 | ||
| Prespa | 23 | 16 | 3 | 4 | 72:26 | 51 | ||
| Veleshta | 23 | 13 | 1 | 9 | 47:38 | 40 | ||
| Vlaznimi | 23 | 12 | 3 | 8 | 51:27 | 39 | ||
| Korabi | 23 | 13 | 0 | 10 | 54:43 | 39 | ||
| Karaorman | 23 | 12 | 2 | 9 | 63:39 | 38 | ||
| Kravari | 23 | 11 | 1 | 11 | 42:61 | 34 | ||
| Liria Zagrachani | 23 | 10 | 3 | 10 | 38:32 | 33 | ||
| Vranishta | 23 | 9 | 2 | 12 | 42:41 | 29 | (relegation) | * |
| Labunishta | 23 | 9 | 1 | 13 | 46:42 | 28 | relegation | |
| Mogila | 23 | 8 | 3 | 12 | 32:50 | 27 | relegation | |
| Poeshevo | 23 | 7 | 3 | 13 | 36:64 | 24 | relegation | |
| Vardino | 23 | 7 | 1 | 15 | 27:48 | 22 | relegation | |
| Rabotnik | 23 | 3 | 2 | 18 | 24:74 | 11 | relegation | |
| Strela Sport | 23 | 3 | 1 | 19 | 18:92 | 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.
* Novaci got relegated from the Second League.
Round 24 is scheduled for 26 April at 16.30 CET:
Vardino vs. Mogila
Strela Sport vs. Veleshta
Labunishta vs. Vranishta
Korabi vs. Poeshevo
Kravari vs. Rabotnik
Prespa vs. Karaorman
Mladost Craev Dvor vs. Vlaznimi
Vulkan vs. Liria Zagrachani