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| 13.04.2024 | 15:00 | FK AP Brera Strumica | - | FK Voska Sport | 1:0 (0:0) | |
| 15:00 | KF Shkupi | - | Makedonija GP | 3:1 (1:0) | ||
| 15:00 | KF Gostivari | - | GFK Tikvesh | 2:1 (1:0) | ||
| 14.04.2024 | 15:00 | FC Struga | - | FK Bregalnica Štip | 2:2 (1:0) | |
| 15:00 | FK Rabotnički | - | Vardar Skopje | 2:0 (0:0) | ||
| 15:00 | KF Shkëndija 79 | - | Sileks Kratovo | 6:1 (1:1) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
FC Struga | 27 | 17 | 4 | 6 | 47:25 | 22 | 55 |
| 2 |
|
KF Shkupi | 27 | 15 | 9 | 3 | 37:16 | 21 | 54 |
| 3 |
|
KF Shkëndija 79 | 27 | 14 | 10 | 3 | 43:20 | 23 | 52 |
| 4 |
|
Sileks Kratovo | 27 | 9 | 10 | 8 | 30:33 | -3 | 37 |
| 5 |
|
GFK Tikvesh | 27 | 10 | 6 | 11 | 31:29 | 2 | 36 |
| 6 |
|
KF Gostivari | 27 | 8 | 12 | 7 | 27:31 | -4 | 36 |
| 7 |
|
FK AP Brera Strumica | 27 | 9 | 6 | 12 | 23:25 | -2 | 33 |
| 8 |
|
FK Rabotnički | 27 | 9 | 4 | 14 | 23:30 | -7 | 31 |
| 9 |
|
Vardar Skopje | 27 | 8 | 5 | 14 | 21:37 | -16 | 29 |
| 10 |
|
FK Voska Sport | 27 | 6 | 10 | 11 | 27:39 | -12 | 28 |
| 11 |
|
FK Bregalnica Štip | 27 | 6 | 8 | 13 | 24:38 | -14 | 26 |
| 12 |
|
Makedonija GP | 27 | 7 | 4 | 16 | 23:33 | -10 | 25 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
