Vulkan was surprised and well beaten at home by Liria, Vlaznimi won a point away to the table leaders while Prespa beat Karaorman.
Vardino – Mogila 1:0
Strela Sport – Veleshta 2:4
Labunishta – Vranishta 2:1
Korabi – Poeshevo 3:0
Kravari – Rabotnik 4:2
Prespa – Karaorman 4:2
Mladost Carev Dvor – Vlaznimi 2:2
Vulkan – Liria Zagrachani 2:5
| MP | W | D | L | +/- | P | |||
| Mladost Carev Dvor | 24 | 19 | 3 | 2 | 72:18 | 60 | play-off | |
| Prespa | 24 | 17 | 3 | 4 | 76:28 | 54 | ||
| Vulkan | 24 | 17 | 2 | 5 | 57:29 | 53 | ||
| Veleshta | 24 | 14 | 1 | 9 | 51:40 | 43 | ||
| Korabi | 24 | 14 | 0 | 10 | 57:43 | 42 | ||
| Vlaznimi | 24 | 12 | 4 | 8 | 53:29 | 40 | ||
| Karaorman | 24 | 12 | 2 | 10 | 65:43 | 38 | ||
| Kravari | 24 | 12 | 1 | 11 | 46:63 | 37 | ||
| Liria Zagrachani | 24 | 11 | 3 | 10 | 43:34 | 36 | ||
| Labunishta | 24 | 10 | 1 | 13 | 48:43 | 31 | (relegation) | * |
| Vranishta | 24 | 9 | 2 | 13 | 43:43 | 29 | relegation | |
| Mogila | 24 | 8 | 3 | 13 | 32:51 | 27 | relegation | |
| Vardino | 24 | 8 | 1 | 15 | 28:48 | 25 | relegation | |
| Poeshevo | 24 | 7 | 3 | 14 | 36:67 | 24 | relegation | |
| Rabotnik | 24 | 3 | 2 | 19 | 26:78 | 11 | relegated | |
| Strela Sport | 24 | 3 | 1 | 20 | 20:96 | 10 | relegated | |
^ 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 25 is scheduled for 30 April at 16.30 CET:
Vulkan vs. Strela Sport
Liria Zagrachani vs. Mladost Carev Dvor
Vlaznimi vs. Prespa
Karaorman vs. Kravari
Rabotnik vs. Vardino
Mogila vs. Korabi
Vranishta vs. Veleshta
Poeshevo vs. Labunishta