[2] A total of fifteen clubs were confirmed for the season, same as previous season, but only fourteen competed as Šilutė withdrew 4 days prior to the league's start after an uncompetitive performance in the 2018 Žemaitijos Taurė.
Three of them were reserve teams of the A Lyga sides - one less than maximum allowed for the competitions and last season number.
Only the II Lyga South Zone winners NFA were automatically promoted from the lower tier as other eligible teams failed to receive licenses.
Finally Kupiškis made their debut in the league after a special permission was given by the Lithuanian Football Federation to compete for a newly created team.
[6][7][4] Updated to games played on 14 December 2018Source: Lietuvos FutbolasNotes:1: Team played in the A Lyga last season.2: Official attendance statistic from 1 of the NFA home matches was not publicly released.3: Official attendance statistic from 1 leagues matches was not publicly released.