The ninth-placed team (Džiugas) qualified for the A Lyga play-off, winning to retain their place in the league.
The bottom-placed team (Riteriai) were relegated to the 2024 LFF I Lyga.
The league consisted of ten teams, nine of which remained from the previous season.
Jonava were relegated and replaced by Dainava, returning after one year's absence.
The ninth-placed club (Džiugas) faced the second-placed club from the 2023 LFF I Lyga (Be1 NFA) for the final place in the following season's A Lyga.