The runners-up (Institute) qualified for the NIFL Premiership play-off, losing and remaining in the league.
The eleventh-placed team (Dergview) qualified for the NIFL Championship play-off, losing and being relegated to the 2024–25 NIFL Premier Intermediate League alongside the bottom-placed team (Knockbreda).
Portadown were relegated to the league as the bottom-placed team of the 2022–23 NIFL Premiership (replacing the 2022–23 NIFL Championship promoted team Loughgall).
For the final five matches, the table splits into two halves, with the top six teams forming Section A and the bottom six teams forming Section B.
The eleventh-placed club (Dergview) faced the second-placed club from the 2023–24 NIFL Premier Intermediate League (Armagh City) in a two-legged play-off for the final place in the following season's Championship.