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| 25.11.2023 | 13:00 | FK Bregalnica Štip | - | KF Shkëndija 79 | 2:2 (0:1) | |
| 26.11.2023 | 13:00 | FK Rabotnički | - | KF Gostivari | 0:0 (0:0) | |
| 13:00 | KF Shkupi | - | Makedonija GP | 1:0 (0:0) | ||
| 13:00 | GFK Tikvesh | - | FK AP Brera Strumica | 1:0 (0:0) | ||
| 06.12.2023 | 13:00 | FC Struga | - | FK Voska Sport | 1:0 (0:0) | |
| 13:00 | Sileks Kratovo | - | Vardar Skopje | 3:2 (2:1) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkupi | 15 | 9 | 4 | 2 | 21:10 | 11 | 31 |
| 2 |
|
FC Struga | 15 | 10 | 0 | 5 | 25:12 | 13 | 30 |
| 3 |
|
KF Shkëndija 79 | 15 | 8 | 5 | 2 | 20:12 | 8 | 29 |
| 4 |
|
Sileks Kratovo | 15 | 7 | 5 | 3 | 23:18 | 5 | 26 |
| 5 |
|
FK Rabotnički | 15 | 6 | 2 | 7 | 11:14 | -3 | 20 |
| 6 |
|
GFK Tikvesh | 15 | 5 | 4 | 6 | 15:16 | -1 | 19 |
| 7 |
|
KF Gostivari | 15 | 5 | 4 | 6 | 16:21 | -5 | 19 |
| 8 |
|
FK AP Brera Strumica | 15 | 5 | 4 | 6 | 12:11 | 1 | 19 |
| 9 |
|
FK Voska Sport | 15 | 4 | 4 | 7 | 17:22 | -5 | 16 |
| 10 |
|
Makedonija GP | 15 | 4 | 3 | 8 | 13:17 | -4 | 15 |
| 11 |
|
FK Bregalnica Štip | 15 | 4 | 3 | 8 | 13:20 | -7 | 15 |
| 12 |
|
Vardar Skopje | 15 | 3 | 2 | 10 | 11:24 | -13 | 11 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
