In a similar fashion in Division B, Houtvenne (2nd place overall) and Lyra-Lierse (won one period) were joined by Sint-Lenaarts and Betekom.
The four winners will continue into the VFV Round 2 to play for the two extra promotion places.
The three remaining spots were taken by third, fourth and fifth placed teams, respectively Aische, Tournai and Léopold Uccle.
The four winners moved on to round 2 to contend for promotion, while the losing teams remain in the Belgian Third Amateur Division.
Due to the results in higher leagues, prior to the match it was certain the winner of this ACFF play-off would avoid relegation.
At the time of the match, it was yet uncertain whether there would be one or two extra VFV teams relegated from the 2018–19 Belgian Third Amateur Division.