[4] Ten teams contested the league: Albion Rovers, Annan Athletic, Berwick Rangers, Clyde, Cowdenbeath, Edinburgh City, Elgin City, Peterhead, Queen's Park and Stirling Albion.

Peterhead lifted the title after a 2–0 win at Queen's Park on the final day.

Source: Scottish League Two - Table Updated: 4 May 2019 Teams play each other four times, twice in the first half of the season (home and away) and twice in the second half of the season (home and away), making a total of 180 games, with each team playing 36.

Source:[40] Note (H) = Home, (A) = Away; Updated to games played on 4 May 2019Source: [2] [47] [48] [49] [50] [51] [52] [53] [54] [55] [56] The Pyramid play-off was contested between the champions of the 2018–19 Highland Football League (Cove Rangers) and the 2018–19 Lowland Football League (East Kilbride).

As Berwick Rangers lost the play-off, they were relegated to the Lowland League since they were south of 56.4513N latitude (middle of the Tay Road Bridge).