Tranent Juniors were the reigning champions but were unable to defend their title after gaining promotion to the Lowland Football League.
[1] A 2–1 win for Linlithgow Rose at Haddington Athletic on 29 April 2023, gave them an unassailable eight-point lead over Sauchie Juniors with two games remaining.
They were promoted to the 2023–24 Lowland Football League as neither Abbey Vale or Beith Juniors held an SFA club licence to contest the play-off.
[1] The league title came down to the final day of the season, with all four promoted teams – Dunbar United, Kinnoull, Glenrothes and Luncarty – still in a position to win.
The title ultimately went to Dunbar United by one point over Kinnoull, having won 2–1 over Camelon Juniors with an injury time winner by Cammy Dawson.