With 4 rounds left, Vlazrimi went on plus 6 at the top and only a miracle can stop them from claiming the title and entering the promotion play-offs.
Rechica GR – Liria Zhelino 1:1
Sharri-T 2012 – Prparimi Rechane 1:2
Kastrioti – Shemshova 2:4
Vardari – Gradec 2:3
Arsimi – Bratstvo Lisichani 3:2
Shkendija Vrutok – Vlazrimi 3:5
Kamjan is free.
| Pl. | W | D | L | +/- | P | |||
| Vlazrimi | 20 | 15 | 1 | 4 | 44:22 | 46 | play-off | |
| Kamjan | 20 | 12 | 4 | 4 | 43:21 | 40 | ||
| Prparimi Rechane | 20 | 11 | 3 | 6 | 38:31 | 33 | -3 | |
| Arsimi | 21 | 10 | 6 | 5 | 38:32 | 33 | -3 | |
| Bratstvo Lisichani | 20 | 10 | 2 | 8 | 37:26 | 32 | ||
| Vardari | 21 | 8 | 8 | 5 | 39:31 | 32 | (relegation) | ** |
| Rechica GR | 20 | 9 | 4 | 7 | 36:30 | 31 | (relegation) | * |
| Liria Zhelino | 20 | 8 | 6 | 6 | 43:38 | 30 | (relegation) | |
| Shemshova | 20 | 7 | 3 | 10 | 41:45 | 24 | (relegation) | |
| Gradec | 20 | 7 | 2 | 11 | 40:43 | 23 | (relegation) | |
| Sharri-T 2012 | 20 | 5 | 5 | 10 | 32:41 | 20 | relegation | |
| Shkendija Vrutok | 21 | 4 | 5 | 12 | 28:56 | 17 | relegation | |
| Kastrioti | 21 | 1 | 1 | 19 | 22:68 | 4 | relegated | |
^ From next season all 3rd Leagues will feature 12 teams, so this season will see more teams get relegated. Also, the correct 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 are 5 teams that in case of relegation will join the West (Drita, Rufeja, Teteks, Vrapchishte and Zajazi).
* Rufeja got relegated from Second League, but it will be added to a fourth league due to a decision by the FFM.
** Teteks is saved from Second League relegation.
Round 23 is scheduled for 10/11 May at 16.00 CET:
Kamjan vs. Rechica GR
Gradec vs. Kastrioti
Shemshova vs. Shkendija Vrutok
Vlazrimi vs. Arsimi
Bratstvo Lisichani vs. Sharri-T 2012
Prparimi Rechane vs. Liria Zhelino
Vardari is free.