Maccabi Herzliya, and Ironi Nesher were directly relegated to Liga Alef after finishing in the previous season in last two league places.
^A The club is playing their home games at a neutral venue because their own ground does not meet league requirements.
The 14th-placed team, Hapoel Acre, faced 2018–19 Liga Alef promotion play-offs winner Maccabi Herzliya in a two-legged tie.
Hapoel Acre won 7–4 on aggregate and remained in Liga Leumit.
Maccabi Herzliya remained in Liga Alef.