Vulkan and Prespa played a draw allowing Mladost CD to go on plus 8, while this round also saw the relegation of Mogila and Poeshevo.
Poeshevo – Vranishta 2:1
Mladost Carev Dvor – Strela Sport 4:0
Vulkan – Prespa 3:3
Liria Zagrachani – Kravari 5:0
Vlaznimi – Vardino 3:0 awarded
Karaorman – Korabi 5:0
Rabotnik – Labunishta 0:3
Mogila – Veleshta 3:4
| MP | W | D | L | +/- | P | |||
| Mladost Carev Dvor | 27 | 21 | 3 | 3 | 81:22 | 66 | play-off | |
| Prespa | 27 | 18 | 4 | 5 | 82:33 | 58 | ||
| Vulkan | 27 | 18 | 3 | 6 | 72:36 | 57 | ||
| Veleshta | 27 | 16 | 1 | 10 | 60:46 | 49 | ||
| Karaorman | 27 | 15 | 2 | 10 | 78:43 | 47 | ||
| Vlaznimi | 27 | 14 | 4 | 9 | 58:33 | 46 | ||
| Korabi | 27 | 15 | 0 | 12 | 63:52 | 45 | ||
| Liria Zagrachani | 27 | 13 | 3 | 11 | 50:38 | 42 | ||
| Kravari | 27 | 13 | 1 | 13 | 50:73 | 40 | ||
| Labunishta | 27 | 12 | 1 | 14 | 55:45 | 37 | (relegation) | * |
| Vranishta | 27 | 10 | 3 | 14 | 50:50 | 33 | relegation | |
| Mogila | 27 | 9 | 3 | 15 | 38:60 | 30 | relegated | |
| Poeshevo | 27 | 9 | 3 | 15 | 40:72 | 30 | relegated | |
| Vardino | 27 | 8 | 1 | 18 | 30:58 | 25 | relegated | |
| Rabotnik | 27 | 4 | 2 | 21 | 31:87 | 14 | relegated | |
| Strela Sport | 27 | 3 | 2 | 22 | 23:113 | 11 | 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.
** Vardino quit the league after Round 25, the rest 5 games are awarded 3:0 to its opponents.
* Novaci got relegated from the Second League.
Round 28 is scheduled for 14 May at 17.00 CET:
Vranishta vs Mogila
Veleshta vs. Rabotnik
Labunishta vs. Karaorman
Korabi vs. Vlaznimi
Vardino vs. Liria Zagrachani
Kravari vs. Vulkan
Prespa vs. Mladost Carev Dvor
Strela Sport vs. Poeshevo