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| 04.12.2022 | 13:00 | KF Shkupi | - | FK Bregalnica Štip | 3:1 (1:1) | |
| 13:00 | Makedonija GP | - | KF Shkëndija 79 | 1:3 (0:1) | ||
| 13:00 | FK Pobeda Junior | - | FK Skopje | 0:0 (0:0) | ||
| 13:00 | FC Struga | - | Akademija Pandev | 1:0 (0:0) | ||
| 13:00 | GFK Tikvesh | - | Sileks Kratovo | 0:2 (0:0) |
| # | Mannschaft | Sp. | S. | U. | N. | Tore | Dif. | Pk. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
FC Struga | 16 | 11 | 3 | 2 | 26:10 | 16 | 36 |
| 2 |
|
KF Shkupi | 15 | 9 | 4 | 2 | 30:12 | 18 | 31 |
| 3 |
|
KF Shkëndija 79 | 16 | 7 | 7 | 2 | 21:12 | 9 | 28 |
| 4 |
|
Sileks Kratovo | 16 | 7 | 5 | 4 | 20:18 | 2 | 26 |
| 5 |
|
GFK Tikvesh | 16 | 7 | 2 | 7 | 23:21 | 2 | 23 |
| 6 |
|
FK Bregalnica Štip | 15 | 5 | 5 | 5 | 15:16 | -1 | 20 |
| 7 |
|
FK Rabotnički | 15 | 5 | 3 | 7 | 15:25 | -10 | 18 |
| 8 |
|
Makedonija GP | 15 | 4 | 5 | 6 | 16:19 | -3 | 17 |
| 9 |
|
Akademija Pandev | 16 | 3 | 3 | 10 | 17:19 | -2 | 12 |
| 10 |
|
FK Pobeda Junior | 15 | 3 | 3 | 9 | 11:25 | -14 | 12 |
| 11 |
|
FK Skopje | 15 | 2 | 4 | 9 | 5:22 | -17 | 10 |
| Champions League Quali. | |
| Europa Conference League Quali. | |
| Relegation | |
| Abstieg |
|
# Der FK Renova wurde wegen Finanzproblemen vom Spielbetrieb ausgeschlossen. |
