The dispute did not prevent the two countries from enjoying close trade links and investment levels (especially from Greece)[citation needed], but it generated a great deal of political and academic debate on both sides.

On 13 September 1995, the two countries signed the Interim Accord,[2] whereby Greece recognized the Republic of Macedonia under its provisional reference.

Under Greek pressure, the European Union and NATO agreed that in order for the Republic of Macedonia to receive an invitation to join these institutions the name dispute needed to be resolved first.

In 2019 Delphi Economic Forum, Alexis Tsipras announced also the intention of the two countries to found a Supreme Council of Cooperation.

The Greek prime minister Kyriakos Mitsotakis called the speech an "illegal and unacceptable act" that "constitutes a violation of the Prespa Agreement."