The Relegation Playoff includes 6 clubs (the 8th placed theam from the Second League, as well as the 5 winners of the Third Leagues) which are going to be arranged in 3 pairs, playing on home-away rule.
The winners of those playoffs win a spot for the next seasons Second League.
Ljubanci won 5–3 in penalty shootout.
Akademija Pandev won 5–2 on aggregate.
Vardar Negotino won 5–0 on aggregate.