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| 20.04.2024 | 16:00 | FK Bregalnica Štip | - | FK Rabotnički | 0:1 (0:0) | |
| 21.04.2024 | 16:00 | KF Gostivari | - | FK AP Brera Strumica | 1:1 (0:0) | |
| 16:00 | Makedonija GP | - | FC Struga | 0:1 (0:1) | ||
| 16:00 | Sileks Kratovo | - | KF Shkupi | 0:0 (0:0) | ||
| 16:00 | GFK Tikvesh | - | KF Shkëndija 79 | 2:1 (1:1) | ||
| 16:00 | Vardar Skopje | - | FK Voska Sport | 0:1 (0:1) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
FC Struga | 28 | 18 | 4 | 6 | 48:25 | 23 | 58 |
| 2 |
|
KF Shkupi | 28 | 15 | 10 | 3 | 37:16 | 21 | 55 |
| 3 |
|
KF Shkëndija 79 | 28 | 14 | 10 | 4 | 44:22 | 22 | 52 |
| 4 |
|
GFK Tikvesh | 28 | 11 | 6 | 11 | 33:30 | 3 | 39 |
| 5 |
|
Sileks Kratovo | 28 | 9 | 11 | 8 | 30:33 | -3 | 38 |
| 6 |
|
KF Gostivari | 28 | 8 | 13 | 7 | 28:32 | -4 | 37 |
| 7 |
|
FK AP Brera Strumica | 28 | 9 | 7 | 12 | 24:26 | -2 | 34 |
| 8 |
|
FK Rabotnički | 28 | 10 | 4 | 14 | 24:30 | -6 | 34 |
| 9 |
|
FK Voska Sport | 28 | 7 | 10 | 11 | 28:39 | -11 | 31 |
| 10 |
|
Vardar Skopje | 28 | 8 | 5 | 15 | 21:38 | -17 | 29 |
| 11 |
|
FK Bregalnica Štip | 28 | 6 | 8 | 14 | 24:39 | -15 | 26 |
| 12 |
|
Makedonija GP | 28 | 7 | 4 | 17 | 23:34 | -11 | 25 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
