With 2 round left, Belasica eventually won the East, Astibo got relegated, while Sloga 1934 scored 10 past Karbinci.
Babi – Trkanja 2:0
Plachkovica – Bregalnica Golak 2:1
Rudar – Astibo 3:1
Belasica – Napredok Radovo 2:0
Osogovo – Sasa 2:1
Karbinci – Sloga 1934 1:10
Rabotnik Djumajlija – Cheshinovo 3:2
Round 23 postponed game that was played on Wednesday:
Astibo – Belasica 1:4
| Pl. | W | D | L | +/- | P | |||
| Belasica | 24 | 21 | 1 | 2 | 76:14 | 64 | play-off | |
| Sloga 1934 | 24 | 18 | 2 | 4 | 58:27 | 56 | ||
| Osogovo | 24 | 15 | 3 | 6 | 59:29 | 48 | ||
| Napredok Radovo | 24 | 15 | 1 | 9 | 58:32 | 46 | ||
| Bregalnica Golak | 24 | 14 | 3 | 7 | 48:27 | 45 | ||
| Babi | 24 | 13 | 3 | 8 | 42:27 | 36 | -6 | |
| Plachkovica | 23 | 10 | 6 | 7 | 37:37 | 35 | ||
| Sasa | 24 | 9 | 5 | 10 | 42:39 | 32 | ||
| Rabotnik Djumajlija | 24 | 8 | 2 | 14 | 37:61 | 26 | ||
| Cheshinovo | 24 | 8 | 0 | 16 | 45:67 | 24 | (relegation) | |
| Trkanja | 24 | 7 | 4 | 13 | 33:44 | 22 | relegation | -3 |
| Astibo | 24 | 4 | 3 | 17 | 25:57 | 15 | relegated | |
| Karbinci | 24 | 4 | 2 | 18 | 19:71 | 14 | relegated | |
| Rudar | 23 | 3 | 2 | 18 | 26:73 | 8 | relegated | -3 |
* From next season, all 3rd Leagues will feature 12 teams, so more teams will be relegated this campaign. The precise 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 is 1 team (Tiverija) that in case of relegation will join the East.
Round 25 is scheduled for 18 May at 16.30 CET:
Rabotnik Djumajlija vs. Babi
Cheshinovo vs. Karbinci
Sloga 1934 vs. Osogovo
Sasa vs. Belasica
Napredok Radovo vs. Rudar
Astibo vs. Plachkovica
Bregalnica Golak vs. Trkanja