| Competition: | Macedonian First League |
| Season: | 2018–19 |
| Winners: | Shkëndija 3rd domestic title |
| Relegated: | Belasica Pobeda |
| Continentalcup1: | Champions League |
| Continentalcup1 Qualifiers: | Shkëndija |
| Continentalcup2: | Europa League |
| Continentalcup2 Qualifiers: | Akademija Pandev Makedonija G.P. Shkupi |
| League Topscorer: | Vlatko Stojanovski (18 goals) |
| Dates: | 11 August 2018 – 26 May 2019 |
| Biggest Home Win: | Renova 9–1 Pobeda (4 May 2019) |
| Biggest Away Win: | Belasica 1–4 Makedonija G.P. (10 November 2018) Renova 0–3 Shkëndija (2 December 2018) |
| Highest Scoring: | Renova 9–1 Pobeda (4 May 2019) |
| Matches: | 180 |
| Total Goals: | 440 |
| Longest Wins: | 7 games Shkëndija |
| Longest Unbeaten: | 13 games Vardar |
| Longest Winless: | 15 games Pobeda |
| Longest Losses: | 7 games Pobeda |
| Prevseason: | 2017–18 |
| Nextseason: | 2019–20 |
| Updated: | 26 May 2019 |
The 2018–19 Macedonian First League was the 27th season of the Macedonian First Football League, the highest football league of North Macedonia (before 12 February Macedonia). It began on 11 August 2018 and ended on 26 May 2019. Each team played the other sides four times on home-away basis, for a total of 36 matches. Shkëndija were the defending champions, having won their second title in 2017–18.
Relegated to 2018–19 Second League |
Relegated to 2019–20 Second League |
| Akademija Pandev | Belasica | Makedonija G.P. | Pobeda |
|---|---|---|---|
| Kukuš Stadium | Blagoj Istatov Stadium | Gjorče Petrov Stadium | Various |
| Capacity: 1,500 | Capacity: 9,200 | Capacity: 3,000 | |
| Rabotnički Vardar | Renova Shkëndija | Shkupi | Sileks |
| Toše Proeski Arena UEFA | Ecolog Arena | Chair Stadium | City Stadium Kratovo |
| Capacity: 36,460 | Capacity: 15,000 | Capacity: 6,000 | Capacity: 4,800 |
Note: Flags indicate national team as has been defined under FIFA eligibility rules. Players may hold more than one non-FIFA nationality.
| Team | Manager | Captain | Kit manufacturer | Shirt sponsor |
|---|---|---|---|---|
| Akademija Pandev |  | | Givova | |
| Belasica | | | Nike | Cosmopolit |
| Makedonija G.P. | | | Kappa | Evropa |
| Pobeda | | | Jako | Krali Marko & Vitaminka |
| Rabotnički | | | Joma | Seavus |
| Renova | | | Jako | Renova |
| Shkëndija | | | Macron | Ecolog |
| Shkupi |  | | Kappa | ATS Group |
| Sileks | | | Legea | |
| Vardar | | | Hummel | BetCity |
Each team played home-and-away against every other team in the league twice, for a total of 36 matches each.
The table lists the positions of teams after each week of matches. In order to preserve chronological evolvements, any postponed matches are not included to the round at which they were originally scheduled, but added to the full round they were played immediately afterwards.
| Rank | Player | Club | Goals |
|---|---|---|---|
| 1 | Vlatko Stojanovski | Renova | 18 |
| 2 | Ljupcho Doriev | Akademija Pandev | 16 |
| 3 | Izair Emini | Shkëndija | 11 |
| Besart Ibraimi | Shkëndija | ||
| Hristijan Kirovski | Makedonija G.P. | ||
| Petar Petkovski | Rabotnički | ||
| Emran Ramadani | Renova | ||
| 8 | Pepi Gorgiev | Belasica | 9 |
| Dejan Tanturovski | Makedonija G.P. | ||
| 10 | Bobi Bozhinovski | Makedonija G.P. | 8 |
| Boban Georgiev | Sileks | ||
 Omar Imeri | Shkëndija | ||
| Darko Micevski | Vardar | ||