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| 12.05.2024 | 17:00 | KF Shkupi | - | FK AP Brera Strumica | 0:0 (0:0) | |
| 17:00 | KF Gostivari | - | FK Rabotnički | 0:0 (0:0) | ||
| 17:00 | KF Shkëndija 79 | - | FC Struga | 0:2 (0:1) | ||
| 17:00 | Makedonija GP | - | FK Bregalnica Štip | 2:1 (0:0) | ||
| 17:00 | Sileks Kratovo | - | Vardar Skopje | 1:1 (0:1) | ||
| 17:00 | GFK Tikvesh | - | FK Voska Sport | 0:0 (0:0) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
FC Struga | 32 | 20 | 4 | 8 | 55:31 | 24 | 64 |
| 2 |
|
KF Shkëndija 79 | 32 | 17 | 10 | 5 | 53:27 | 26 | 61 |
| 3 |
|
KF Shkupi | 32 | 16 | 11 | 5 | 40:22 | 18 | 59 |
| 4 |
|
GFK Tikvesh | 32 | 12 | 7 | 13 | 39:38 | 1 | 43 |
| 5 |
|
Sileks Kratovo | 32 | 10 | 12 | 10 | 35:39 | -4 | 42 |
| 6 |
|
FK Rabotnički | 32 | 12 | 6 | 14 | 29:32 | -3 | 42 |
| 7 |
|
KF Gostivari | 32 | 9 | 14 | 9 | 31:37 | -6 | 41 |
| 8 |
|
FK Voska Sport | 32 | 10 | 11 | 11 | 36:40 | -4 | 41 |
| 9 |
|
FK AP Brera Strumica | 32 | 10 | 9 | 13 | 29:30 | -1 | 39 |
| 10 |
|
Vardar Skopje | 32 | 10 | 6 | 16 | 26:41 | -15 | 36 |
| 11 |
|
Makedonija GP | 32 | 8 | 5 | 19 | 26:39 | -13 | 29 |
| 12 |
|
FK Bregalnica Štip | 32 | 6 | 9 | 17 | 26:49 | -23 | 27 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
