Tamara Todevska's appointment as the Macedonian representative was announced on 25 January 2019, while her song, "Proud", was presented to the public on 8 March 2019.

In the final, North Macedonia performed in position 8 and placed seventh out of the 26 participating countries, scoring 305 points.

[1] The nation's best result in the contest to this point was twelfth, which it achieved in 2006 with the song "Ninanajna" performed by Elena Risteska.

All entries failed to bring the country to the final, including in 2018 with Eye Cue and the song "Lost and Found".

[3] On 25 January 2019, MRT announced that they had internally selected Tamara Todevska to represent Macedonia in Tel Aviv.

Todevska previously competed in the contest in 2008 where she performed the song "Let Me Love You" together with Vrčak and Adrijan but failed to qualify for the final.

On the 16th of May, we will break the rules and at least for one night in the year, we will show the world that I AM PROUD is always stronger than their YOU WILL NEVER BE GOOD ENOUGH!According to Eurovision rules, all nations with the exceptions of the host country and the "Big Five" (France, Germany, Italy, Spain and the United Kingdom) are required to qualify from one of two semi-finals in order to compete for the final; the top ten countries from each semi-final progress to the final.

[14] Tamara Todevska was also joined by three off-stage backing vocalists: Aleksandra Janeva, Antonia Gigovska and Vasil Garvanliev.

[15] At the end of the show, North Macedonia was announced as having finished in the top 10 and subsequently qualifying for the grand final.

Each nation's jury consisted of five music industry professionals who are citizens of the country they represent, with their names published before the contest to ensure transparency.

This jury judged each entry based on: vocal capacity; the stage performance; the song's composition and originality; and the overall impression by the act.

In addition, no member of a national jury was permitted to be related in any way to any of the competing acts in such a way that they cannot vote impartially and independently.