It is the fourth season that the competition has been running in its present form.
The top two teams (Melita and Żabbar St. Patrick) were promoted to the 2024–25 Maltese Premier League.
The bottom four teams (Msida Saint-Joseph and three others) will be relegated to the 2024–25 Maltese National Amateur League.
The bottom ten teams from the regular season face each other for the second time (either at home or away), with the bottom four teams being relegated to the 2024–25 Maltese National Amateur League.
With both St. Andrews and Luqa St. Andrew's level on 28 points, a play-off match was conducted to the looser will be Relegation to the 2024–25 Maltese National Amateur League.