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| 03.03.2024 | 14:00 | FK Rabotnički | - | FK Bregalnica Štip | 2:0 (1:0) | |
| 14:00 | KF Shkupi | - | GFK Tikvesh | 0:0 (0:0) | ||
| 14:00 | KF Gostivari | - | FK AP Brera Strumica | 2:0 (0:0) | ||
| 14:00 | KF Shkëndija 79 | - | Vardar Skopje | 3:0 (2:0) | ||
| 14:00 | Makedonija GP | - | FK Voska Sport | 1:2 (1:1) | ||
| 14:00 | Sileks Kratovo | - | FC Struga | 0:0 (0:0) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkupi | 21 | 12 | 7 | 2 | 28:12 | 16 | 43 |
| 2 |
|
FC Struga | 21 | 13 | 3 | 5 | 35:18 | 17 | 42 |
| 3 |
|
KF Shkëndija 79 | 21 | 12 | 6 | 3 | 31:16 | 15 | 42 |
| 4 |
|
Sileks Kratovo | 21 | 7 | 8 | 6 | 25:24 | 1 | 29 |
| 5 |
|
KF Gostivari | 21 | 7 | 8 | 6 | 23:25 | -2 | 29 |
| 6 |
|
FK Rabotnički | 21 | 8 | 3 | 10 | 16:21 | -5 | 27 |
| 7 |
|
GFK Tikvesh | 21 | 7 | 5 | 9 | 23:23 | 0 | 26 |
| 8 |
|
FK AP Brera Strumica | 21 | 7 | 5 | 9 | 17:16 | 1 | 26 |
| 9 |
|
FK Voska Sport | 21 | 6 | 6 | 9 | 24:33 | -9 | 24 |
| 10 |
|
Vardar Skopje | 21 | 6 | 3 | 12 | 18:31 | -13 | 21 |
| 11 |
|
FK Bregalnica Štip | 21 | 5 | 5 | 11 | 19:30 | -11 | 20 |
| 12 |
|
Makedonija GP | 21 | 5 | 3 | 13 | 15:25 | -10 | 18 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
