[1] Makadi, Nogoom, and Raya Ghazl Kafr El Dawar won the promotion play-offs, and promoted to the inaugural edition of the Egyptian Second Division A.
Teams that lose the play-offs, alongside teams finishing second (and third in some groups) in the regular season, will participate in the first-ever Egyptian Second Division B season, which will represent the third tier league of the Egyptian football league system starting from the following season.
Teams finishing in last place (and second from bottom in some groups) will be relegated to the Egyptian Fourth Division.
The draw for the Second Division A/B play-offs was held on 21 March 2023, 12:00 local time (UTC+2), at the Egyptian Football Association headquarters, to decide the order of the fixtures.
No draw was held for the Second Division B and relegation play-offs fixtures between teams from groups H1 and H2, as both matches were played at a neutral ground.