It was part of the Ilinden-Preobrazhenie Uprising, led by the Internal Macedonian-Adrianople Revolutionary Organisation (IMARO or VMARO) against the Ottoman Empire.

The leading revolutionary commanders of the local Kruševo Republic were Nikola Karev and Pitu Guli.

Before the battle, Pitu Guli inspected his forces and found out that 70 out of the 300 men part of his unit did not have any weapons so he let them return home.

Following the Battle of Sliva and Mečkin Kamen, large parts of the Aromanian areas and villages were destroyed while 'the Bulgarian quarter' was mostly spared.

[8] Revolutionary Pitu Guli and most of his men were killed at the battle of Mečkin Kamen while Nikola Karev managed to break through the Turkish lines and escaped back to Bulgaria.