The 2018–19 Macedonian Football Cup was the 27th season of North Macedonia's football knockout competition.
Shkëndija were the defending champions, having won their second title in the previous year.
The matches were played on 22 August 2018.
[1] The first legs were played on 19 September and the second legs will be played on 3 October 2018.
Akademija Pandev won 6–2 on aggregate.