The eleventh-placed team (Ballymena United) qualified for the NIFL Premiership play-off, winning and retaining their place in the league.
The bottom-placed team (Newry City) were relegated to the 2024–25 NIFL Championship.
The play-offs are one-off matches, with the higher-ranked teams given home advantage and extra time and penalties used to determine the winner if necessary.
Since the 2023–24 Irish Cup winners finished in the top three, the 3rd-placed team qualified automatically for the Conference League and the spot was vacated.
The eleventh-placed club (Ballymena United) faced the second-placed club from the 2023–24 NIFL Championship (Institute) in a two-legged play-off for the final place in the following season's Premiership.