The 2022–23 Liga Primera de Nicaragua season was to be divided into two tournaments, Apertura and Clausura.

Real Madriz finished last in the aggregate table and were relegated to the Segunda División.

The champions from the Segunda División, Matagalpa FC, were promoted in their place.

The 9th place team in the aggregate table, ART Jalapa, faced the second-place team from the Segunda División, CD Junior, in a playoff for a spot in the Primera División.

Matagalpa FC Ocotal Real Estelí UNAM Managua Walter Ferretti