2.MFL West 1998/99
| Pos | Club | Pts | P | W | D | L | F | A | GD |
|---|---|---|---|---|---|---|---|---|---|
| 1 |  Napredok | 69 | 30 | 21 | 6 | 3 | 65 | 21 | 44 |
| 2 |  Teteks | 62 | 30 | 19 | 5 | 6 | 69 | 30 | 39 |
| 3 |  Ohrid Lychnidos | 50 | 30 | 15 | 5 | 10 | 58 | 32 | 26 |
| 4 |  Alumina | 44 | 30 | 13 | 5 | 12 | 52 | 41 | 11 |
| 5 |  Shkëndija 77 | 44 | 30 | 14 | 2 | 14 | 48 | 50 | -2 |
| 6 |  Veleshta | 43 | 30 | 13 | 4 | 13 | 51 | 50 | 1 |
| 7 |  Shkendija HB | 42 | 30 | 12 | 6 | 12 | 72 | 45 | 27 |
| 8 |  Jugohrom | 42 | 30 | 13 | 3 | 14 | 52 | 42 | 10 |
| 9 |  Karaorman | 42 | 30 | 12 | 6 | 12 | 46 | 52 | -6 |
| 10 |  Novaci | 41 | 30 | 12 | 5 | 13 | 30 | 34 | -4 |
| 11 |  Korabi | 41 | 30 | 12 | 5 | 13 | 36 | 52 | -16 |
| 12 |  Prespa | 38 | 30 | 11 | 5 | 14 | 47 | 56 | -9 |
| 13 |  Gostivar | 37 | 30 | 12 | 4 | 14 | 45 | 64 | -19 |
| 14 |  Demir Hisar | 30 | 30 | 8 | 6 | 16 | 36 | 55 | -19 |
| 15 |  Vlaznimi | 29 | 30 | 8 | 5 | 17 | 41 | 71 | -30 |
| 16 |  Svetlost | 25 | 30 | 7 | 4 | 19 | 26 | 79 | -53 |
Promotion | 1.MFL
Relegation | 3.MFL