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| 29.11.2023 | 13:00 | FK AP Brera Strumica | - | FK Bregalnica Štip | 1:1 (1:0) | |
| 13:00 | KF Gostivari | - | KF Shkupi | 0:0 (0:0) | ||
| 13:00 | KF Shkëndija 79 | - | FK Rabotnički | 2:0 (0:0) | ||
| 13:00 | Makedonija GP | - | Sileks Kratovo | 1:0 (0:0) | ||
| 13:00 | Vardar Skopje | - | FC Struga | 1:3 (1:2) | ||
| 13:00 | FK Voska Sport | - | GFK Tikvesh | 0:3 (0:1) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
FC Struga | 16 | 11 | 0 | 5 | 28:13 | 15 | 33 |
| 2 |
|
KF Shkupi | 16 | 9 | 5 | 2 | 21:10 | 11 | 32 |
| 3 |
|
KF Shkëndija 79 | 16 | 9 | 5 | 2 | 22:12 | 10 | 32 |
| 4 |
|
Sileks Kratovo | 16 | 7 | 5 | 4 | 23:19 | 4 | 26 |
| 5 |
|
GFK Tikvesh | 16 | 6 | 4 | 6 | 18:16 | 2 | 22 |
| 6 |
|
KF Gostivari | 16 | 5 | 5 | 6 | 16:21 | -5 | 20 |
| 7 |
|
FK AP Brera Strumica | 16 | 5 | 5 | 6 | 13:12 | 1 | 20 |
| 8 |
|
FK Rabotnički | 16 | 6 | 2 | 8 | 11:16 | -5 | 20 |
| 9 |
|
Makedonija GP | 16 | 5 | 3 | 8 | 14:17 | -3 | 18 |
| 10 |
|
FK Bregalnica Štip | 16 | 4 | 4 | 8 | 14:21 | -7 | 16 |
| 11 |
|
FK Voska Sport | 16 | 4 | 4 | 8 | 17:25 | -8 | 16 |
| 12 |
|
Vardar Skopje | 16 | 3 | 2 | 11 | 12:27 | -15 | 11 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
