2018–19 Macedonian First League
| Macedonian First League | |
|---|---|
| Season | 2018–19 |
| Duration | 6 October 2018 – May 2019 |
| Teams | 11 |
| TV partner(s) | Macedonian Radio Television |
| Regular season | |
| Season MVP | Damjan Stojanovski |
| Promoted | MZT Skopje Aerodrom 2 Akademija FMP |
| Relegated | Shkupi |
| Finals | |
| Champions | MZT Skopje Aerodrom |
| Runners-up | Rabotnički |
| Semifinalists | Blokotehna Gostivar |
← 2017–18 2019–20 → | |
The 2018–19 Macedonian First League was the 27th season of the Macedonian First League, with 11 teams participating.
Rabotnički were the defending champions.