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| 22.04.2023 | 16:00 | FK Bregalnica Štip | - | KF Shkëndija 79 | 0:1 (0:0) | |
| 23.04.2023 | 16:00 | FK Skopje | - | Akademija Pandev | 1:1 (0:1) | |
| 16:00 | FK Pobeda Junior | - | FK Rabotnički | 0:1 (0:1) | ||
| 16:00 | Sileks Kratovo | - | Makedonija GP | 1:0 (1:0) | ||
| 16:00 | GFK Tikvesh | - | KF Shkupi | 0:0 (0:0) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
FC Struga | 25 | 15 | 8 | 2 | 41:17 | 24 | 53 |
| 2 |
|
KF Shkëndija 79 | 25 | 14 | 8 | 3 | 36:17 | 19 | 50 |
| 3 |
|
KF Shkupi | 25 | 13 | 7 | 5 | 51:24 | 27 | 46 |
| 4 |
|
Sileks Kratovo | 25 | 12 | 7 | 6 | 37:27 | 10 | 43 |
| 5 |
|
FK Bregalnica Štip | 25 | 9 | 10 | 6 | 26:21 | 5 | 37 |
| 6 |
|
Makedonija GP | 26 | 8 | 9 | 9 | 27:26 | 1 | 33 |
| 7 |
|
GFK Tikvesh | 25 | 8 | 7 | 10 | 27:30 | -3 | 31 |
| 8 |
|
FK Rabotnički | 26 | 9 | 4 | 13 | 28:39 | -11 | 31 |
| 9 |
|
Akademija Pandev | 26 | 5 | 8 | 13 | 28:31 | -3 | 23 |
| 10 |
|
FK Skopje | 26 | 3 | 10 | 13 | 11:36 | -25 | 19 |
| 11 |
|
FK Pobeda Junior | 26 | 3 | 4 | 19 | 17:61 | -44 | 13 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
|
# Der FK Renova wurde wegen Finanzproblemen vom Spielbetrieb ausgeschlossen. |
