Maardu Linnameeskond will be making their Meistriliiga debut having previously declined promotion after winning the 2017 Esiliiga.
[1] Kuressaare retained their Meistriliiga spot after winning a relegation playoff against Esiliiga runners-up Elva.
During the final round, JK Tallinna Kalev managed to escape the relegation play-offs spot and therefore FC Kuressaare had to take that place.
They competed against Esiliiga's second independent team Pärnu JK Vaprus and defeated them in a home-and-away play-off.
A total of 10 teams were contesting the league, including 6 sides from the 2018 season, one relegated from 2018 Meistriliiga and three promoted from the 2018 Esiliiga B.
Volta and Viimsi both finished the last season on top of their leagues and Tabasalu defeated Ajax in the play-offs.
The teams which were relegated from higher tiers were Nõmme Kalju FC U21 and Keila JK, who both got to play a season in Esiliiga.
(AET): At Extra Time IV liiga In 2019 the competition did not have a "final match" between the divisions best clubs, because of the format change which put the tier's top six teams in the same group.
(AET): At Extra Time Eesti alustab uut aastat mängudega kahe põhjamaa koondise vastu - Soccernet Jalgpalliliidu juhatus kinnitas tippliigade koosseisud - Estonian FA