[1][2] They are made with flour, eggs, yogurt, a leavening agent, water, salt, and oil.

After the dough rises, it is torn into small balls, spread into flat rounds and fried in oil.

One of the oldest known recipes contains only yeast, flour, salt and sugar and it uses water as the sole wet ingredient.

When served, mekitsa is often powdered with icing sugar or garnished with jam, honey or sirene (white cheese).

[4] In North Macedonia people prepare the dish the week after a newborn is born.