The season saw the relegation of Valletta, one of the most historic teams in Maltese football, for the first time in their history.
The Maltese Premier League saw a 22% increase in attendance, with the Floriana versus Ħamrun Spartans match on 27 April drawing the largest crowd of 9,090 spectators.
[2] Sliema Wanderers and Naxxar Lions were promoted and returned to the Maltese Premier League after one and five years of absence, respectively.
They replaced the 2022–23 Maltese Premier League bottom two teams, Pietà Hotspurs and Żebbuġ Rangers (both relegated after one year in the top flight).
On 13 April 2023, The Malta Football Association announced that four clubs would be relegated to the Maltese Challenge League at the end of the season, as the number of clubs would be reduced to twelve starting from the 2024–25 season.