|Level on pyramid||3|
|Promotion to||2. MFL|
|Relegation to||Macedonian Municipal Leagues|
|Domestic cup(s)||Macedonian Football Cup|
|Current champions||Vardar (N) (South)|
Ovche Pole (East)
|Current: 2022–23 Macedonian Third Football League|
In 2019–20, the competition will be divided into five divisions named Third League - North (Трета Лига - Север), Third League - Center (Трета Лига - Центар), Third League - Southeast (Трета Лига - Југоисток), Third League - West (Трета Лига - Запад) and Third League - Southwest (Трета Лига-Југозапад). At the end of the season, the winners of the North, West and Southwest divisions will be play in a play-off for promotion to the Macedonian Second League, while the winners of Center and Southeast divisions will be directly promoted to the Second League. The bottom teams from all divisions are relegated to the Macedonian Municipal Leagues.
|†||Club gained promotion to the unified Second League|
|W||Club gained promotion to Second League West|
|E||Club gained promotion to Second League East|
|1992–93||Tehnokom Gorno Lisiche W||Varosh E||Prvi Partizan Turnovo E||Pitu Guli W|
|1993–94||Shkëndija W||Zheleznichar Bogomila E||Plachkovica E||Suvenir W|
|1994–95||Ilinden Skopje W||Rabotnik Djumajlija E||Kavadarci E||Malesh E||Svetlost Kukurechani W||Flamurtari Radolishta W|
|1995–96||Jugohrom W||Karposh 93 E||Gaber E||Sloga Vinica E||11 Oktomvri W||Vevchani W|
|1996–97||Alumina W||Ovche Pole E||Rosoman 83 E||Astibo E||Proleter Makedonski Brod W||Vlaznimi W|
|1997–98||Gostivar W||Besa-Vlazrimi E||Udarnik Pirava E||Tiverija E||Demir Hisar W||Veleshta W|
|1998–99||Butel W||Karposh 93 E||Dojransko Ezero E||Belo Brdo E||Mariovo W||Voska W|
|1999–00||Drita||Mesna Industrija †||Rosoman 83||Mladost GT Orizari †||11 Oktomvri †||Vëllazërimi|
|2000–01||Drita †||Kozhuf †||Turnovo †||Makedonija Vranishta †|
|2001–02||Madjari Solidarnost †||Pobeda Valandovo †||Bregalnica Shtip †||Vëllazërimi †|
|2002–03||Skopje †||Metalurg Veles||Zletovica †||Bratstvo Resen †||Lozar †|
|2003–04||Renova †||Vardar Negotino||Mladost Sushica †||Dollogozhda|
|2017–18||Goblen W||Partizan Obrshani E||Detonit Junior E||Kit-Go Pehchevo E||Genç Kalemler W||Korabi W||Vardar Negotino E|
|2018–19||Kadino W||Pitu Guli E||Dojransko Ezero||Osogovo E||Drita W||Ohrid W||Vardari Forino W|
|2019–20||Abandoned due to COVID-19 pandemic in North Macedonia||Rosoman 83 E,|
Sloga 1934 E, Teteks W, Veleshta W
|2020–21||Besa (DD) W, Bratstvo 07 E,|
Detonit E, Lokomotiva (G) E, Voska Sport W
|2021–22||Not held||Vardar Negotino||Ovche Pole||Arsimi †||Karaorman †||Lokomotiva †|
- 1. a : Metalurg Veles was withdraw from the Second League days before the start of the season, their place was taken by Lozar.
- 2. a : Lokomotiva was promoted after the win in the additional play-off match against Korabi because was the Second League expanded after the play-off chaos.
- 3. a : Babi was promoted because Bregalnica Delchevo was rejected the promotion.
- 4. a : Shkupi was lost promotion play-offs, but due to the merger with Korzo the club was promoted.
- 5. a : Vëllazërimi was lost promotion play-offs, but due to the merger with Vrapčište the club was promoted.
- 6. a : Novaci was lost promotion play-offs, but due to the withdrawal of Mladost Carev Dvor from the Second League the club was promoted.
- 7. a : Tikvesh was promoted due to the withdrawal of Ljubanci from the Second League.
- 8. a : Dojransko Ezero was rejected the promotion to the Second League - East.
- 9. a : Teteks was promoted due to the merger with Labunishta.
- 10. a : Lokomotiva was promoted due to the withdrawal of Pehchevo from the Second League.
- "Macedonia 2003/04". RSSSF.com. Retrieved 8 July 2022.
- "Macedonia 2006/07". RSSSF.com. Retrieved 8 August 2016.
- "Official: Novaci replaces Mladost". MacedonianFootball.com. 1 August 2016. Retrieved 7 August 2016.
- "Каменица Саса останува во Втората лига – Исток". ekipa.mk. 12 July 2019. Retrieved 6 August 2019.
- "Иако лани испадна, Каменица Саса пак ќе игра во ВМФЛ!". gol.mk. 12 July 2019. Retrieved 6 August 2019.