Hibernians were the defending champions, having won their 13th title in the previous season.
The promoted teams are Żebbuġ Rangers, Marsaxlokk, and Pietà Hotspurs, who will return after an absence of five, seven, ten and eight years from the top flight respectively.
They will replace Sliema Wanderers (relegated after thirty-seven years in the top flight).
Because Hibernians, Balzan, and Mosta were tied on points after all matches played, their head-to-head results in Play-Out were decisive.
The best two teams Hibernians and Balzan will play a deciding game to determine the Fourth Place and qualification for UEFA Europa Conference League.