With 2 rounds to go Mladost Carev Dvor is officially champion of the South-West after playing a draw in the derby against second-placed Prespa.
Vranishta – Mogila 0:3
Veleshta – Rabotnik 4:3
Labunishta – Karaorman 2:0
Korabi – Vlaznimi 3:2
Vardino – Liria Zagrachani 0:3 awarded
Kravari – Vulkan 3:1
Prespa – Mladost Carev Dvor 2:2
Strela Sport – Poeshevo 0:1
| MP | W | D | L | +/- | P | |||
| Mladost Carev Dvor | 28 | 21 | 4 | 3 | 83:24 | 67 | play-off | |
| Prespa | 28 | 18 | 5 | 5 | 84:35 | 59 | ||
| Vulkan | 28 | 18 | 3 | 7 | 73:39 | 57 | ||
| Veleshta | 28 | 17 | 1 | 10 | 64:49 | 52 | ||
| Korabi | 28 | 16 | 0 | 12 | 66:54 | 48 | ||
| Karaorman | 28 | 15 | 2 | 11 | 78:45 | 47 | ||
| Vlaznimi | 28 | 14 | 4 | 10 | 60:36 | 46 | ||
| Liria Zagrachani | 28 | 14 | 3 | 11 | 53:38 | 45 | ||
| Kravari | 28 | 14 | 1 | 13 | 53:74 | 43 | ||
| Labunishta | 28 | 13 | 1 | 14 | 57:45 | 40 | (relegation) | * |
| Vranishta | 28 | 10 | 3 | 15 | 50:53 | 33 | relegated | |
| Mogila | 28 | 10 | 3 | 15 | 41:60 | 33 | relegated | |
| Poeshevo | 28 | 10 | 3 | 15 | 41:72 | 33 | relegated | |
| Vardino | 28 | 8 | 1 | 19 | 30:61 | 25 | relegated | |
| Rabotnik | 28 | 4 | 2 | 22 | 34:91 | 14 | relegated | |
| Strela Sport | 28 | 3 | 2 | 23 | 23:114 | 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 29 is scheduled for 18 May at 17.00 CET:
Prespa vs. Strela Sport
Mladost Carev Dvor vs. Kravari
Vulkan vs. Vardino
Liria Zagrachani vs. Korabi
Vlaznimi vs. Labunishta
Karaorman vs. Veleshta
Rabotnik vs. Vranishta
Mogila vs. Poeshevo