Linlithgow Rose were the reigning champions but were unable to defend their title after gaining promotion to the Lowland Football League.
Relegated from 2022–23 Premier Division: Promoted to 2023–24 Premier Division: All grounds are equipped with floodlights, except Humbug Park (Crossgates Primrose), Warout Stadium (Glenrothes), Brownlands Park (Luncarty).
The league title went down to the final day of the season, with Bo'ness Athletic and Thornton Hibs separated by one point.
Despite a 21-match winning run for Thornton Hibs to end the season, Bo'ness Athletic's 4–0 home victory over Dalkeith Thistle was enough for the honours.
West Calder United won the league title with a round of matches to spare, following a 2–1 victory over Harthill Royal on 14 May 2024.