As 5 teams entered for 4 available spots, one lucky team – Studeniçan – was first drawn to escape the play-off and be directly promoted.

By drawing lost: Studeniçan

01.06.2025, 17.00 CET
Stadium in Agino
Bujkovci – Llopati 97 0:2 (0:0)

01.06.2025, 17.00 CET
Kadino stadium in Skopje
Besa (S) – Hotla 1:1 (1:0); 4:5 p.s.o.

The winners got promoted to the 3.MFL North. The losers decided on the last promotion spot:

05.06.2025, 17.30 CET
Kadino stadium in Skopje
Bujkovci – Besa (S) 2:2 (0:2); 2:3 p.s.o.