5.MFL (all groups)
The fifth level is the lowest in the Macedonian football league system. Only Bitola, Kumanovo and Prilep have a competition in this level. This season however, only Bitola is hosting a competition at this level.
Season 2023/24
| 5.MFL Bitola | 5.MFL Kumanovo | 5.MFL Prilep |
| Bair Sport | / | / |
| Dalbegovci | / | / |
| Elenik | / | / |
| Hajduk | / | / |
| Kroschu | / | / |
| KSK | / | / |
| Mladost (D) | ||
| Mladost (B) | ||
| Mogila | ||
| Napredok (N) | ||
| Pelagonija (D) | ||
| Pobeda (I) | ||
| Trnovci | ||
| Vasharejca |