The league operated a system of promotion and relegation, to the first-tier Svenska Serien and to district-level hockey leagues.

The group winners, Brynäs IF (north), IF Aros (central), Nacka SK (east), and Årsta SK (south) won their groups, and continued to play in a qualifier for promotion to Svenska Serien, which resulted in Brynäs and Nacka being promoted to the 1943–44 Svenska Serien.

IFK Stockholm finished last in Division 2 North, and as a result were relegated to their local level hockey league.

The winning teams from each group—Brynäs IF (north), IF Aros (central), Nacka SK (east), and Årsta SK (south)—played a qualifier for promotion to Sweden's first-tier hockey league.

Brynäs and Nacka won this qualifier, and as a result competed in the 1943–44 Svenska Serien.