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| 04.11.2023 | 13:00 | FK Bregalnica Štip | - | Makedonija GP | 2:3 (0:3) | |
| 13:00 | FK Rabotnički | - | Sileks Kratovo | 1:0 (0:0) | ||
| 13:00 | GFK Tikvesh | - | KF Gostivari | 2:2 (1:2) | ||
| 13:00 | FK Voska Sport | - | FK AP Brera Strumica | 1:1 (0:0) | ||
| 05.11.2023 | 13:00 | FC Struga | - | KF Shkëndija 79 | 2:1 (0:0) | |
| 13:00 | KF Shkupi | - | Vardar Skopje | 2:0 (1:0) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkupi | 13 | 8 | 4 | 1 | 19:8 | 11 | 28 |
| 2 |
|
FC Struga | 13 | 9 | 0 | 4 | 23:10 | 13 | 27 |
| 3 |
|
KF Shkëndija 79 | 13 | 7 | 4 | 2 | 17:10 | 7 | 25 |
| 4 |
|
Sileks Kratovo | 13 | 5 | 5 | 3 | 18:15 | 3 | 20 |
| 5 |
|
GFK Tikvesh | 13 | 4 | 4 | 5 | 14:15 | -1 | 16 |
| 6 |
|
FK AP Brera Strumica | 13 | 4 | 4 | 5 | 10:9 | 1 | 16 |
| 7 |
|
FK Rabotnički | 13 | 5 | 1 | 7 | 10:14 | -4 | 16 |
| 8 |
|
Makedonija GP | 13 | 4 | 3 | 6 | 13:15 | -2 | 15 |
| 9 |
|
KF Gostivari | 13 | 4 | 3 | 6 | 15:21 | -6 | 15 |
| 10 |
|
FK Bregalnica Štip | 13 | 4 | 2 | 7 | 11:17 | -6 | 14 |
| 11 |
|
FK Voska Sport | 13 | 3 | 4 | 6 | 15:20 | -5 | 13 |
| 12 |
|
Vardar Skopje | 13 | 3 | 2 | 8 | 8:19 | -11 | 11 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
