| Prevseason: | 2018–19 |
| Nextseason: | 2020–21 |
| Season: | 2019–20 |
| Macedonian First League | |
| T Bg: | white |
| T Color: | black |
| Teams: | 10 |
| Tv: | Macedonian Radio Television |
The 2019–20 Macedonian First League is the 28th season of the Macedonian First League, with 10 teams participating in it. MZT Skopje Aerodrom are the defending champions.
On 12 March 2020, the competition was postponed due to the coronavirus pandemic in North Macedonia.[1]
Ten teams that compose the league will play a double-legged round robin tournament.
The second team of MZT Skopje (MZT Skopje Uni Banka) and Akademija FMP were promoted.[2] Two clubs from Gevgelia, Blokotehna and Kožuv, merged into one club,[3] while Shkupi was relegated. On September 30, AV Ohrid was dissolved, so the beginning of this season was delayed to October, 12.[4]
| Team | Home City | Arena | Colour | Coach | |
|---|---|---|---|---|---|
| Akademija FMP | Skopje | Nezavisna Makedonija |  Igor Gacov | ||
| EuroNickel 2005[5] | Kavadarci | Jasmin | Goran Samardziev | ||
| Gostivar 2015 | Gostivar | Mladost Gostivar | Marjan Srbinovski | ||
| Kožuv | Gevgelija | 26-ti April | Aleksandar Jončevski | ||
| Kumanovo 2009 | Kumanovo | Sports Hall Kumanovo | Aleksandar Petrović | ||
| MZT Skopje Aerodrom | Skopje | Jane Sandanski Arena | |||
| MZT Skopje Uni Banka | Skopje | Jane Sandanski Arena | |||
| Pelister | Bitola | Sports Hall Mladost |  Zoran Todorović | ||
| Rabotnički | Skopje | Gradski Park | Dimitar Mirakovski | ||
| Vardar | Skopje | Kale |
| Teams that play in the 2019–20 Second Adriatic League |