All matches to be played at the Goce Delchev stadium in Prilep.

Semifinals

20.05.2023, 15.00 CET
Mukos – Strela 21 0:2

21.05.2023, 16.00 CET
Kadica 1965 – Vlaznimi Junior 2:0

Final

24.05.2023, 16.00 CET
Kadica 1965 – Strela 21

The winner will be promoted to the 3.MFL South.

Promotion/relegation play-off

The 11th-placed team in the 4.MFL Prilep against the runners-up of 5.MFL Prilep.

21.05.2023, 10.00 CET
Trizla – Borotino 0:0 (5:4 p.s.o.)

The winner will stay/be promoted in/to the 4.MFL Prilep.