| Competition: | Macedonian Second League |
| Season: | 2018–19 |
| Winners: | Borec (East) Struga Trim-Lum (West) |
| Promoted: | Borec Struga Trim-Lum |
| Relegated: | Detonit Gench Kalemler Goblen Partizan Teteks Vardar (N.) |
| Biggest Home Win: | Kit-Go 11–0 Partizan |
| Biggest Away Win: | Plachkovica 0–6 Bregalnica |
| Highest Scoring: | Kit-Go 11–0 Partizan |
| Matches: | 252 (Total) 126 (East) 126 (West) |
| Longest Wins: | 8 games Borec |
| Longest Winless: | 12 games Partizan |
| Longest Losses: | 12 games Partizan |
| Prevseason: | 2017–18 |
| Nextseason: | 2019–20 |
The 2018–19 Macedonian Second Football League was the 27th season of the Macedonian Second Football League, the second division in the Macedonian football league system. The season began on 18 August 2018 and concluded on 25 May 2019.
| Club | City | Stadium | Capacity |
|---|---|---|---|
| FK Borec | Veles | Gradski stadion Veles | 2,000 |
| FK Bregalnica | Shtip | Gradski stadion Shtip | 4,000 |
| FK Detonit Junior | Radovish | Gradski stadion Radovish | 2,000 |
| FK Kit-Go | Pehchevo | Gradski stadion Pehchevo | |
| FK Kozhuf | Gevgelija | Gradski stadion Gevgelija | 2,500 |
| FK Partizan | Obrshani | ||
| FK Plachkovica | Radovish | Gradski stadion Radovish | 2,000 |
| FK Sasa | Makedonska Kamenica | Gradski stadion M. Kamenica | 5,000 |
| Kavadarci | Gradski Stadion Kavadarci | 7,500 | |
| FK Vardar | Negotino | Gradski stadion Negotino | 1,500 |
| Club | City | Stadium | Capacity |
|---|---|---|---|
| FK Gench Kalemler | Dolna Banjica | Gradski stadion Gostivar | 1,000 |
| FK Goblen | Kumanovo | Gradski stadion Kumanovo | 7,000 |
| FK Gostivar | Gostivar | Gradski stadion Gostivar | 1,000 |
| FK Korabi | Debar | Gradski Stadion Debar | 5,000 |
| FK Labunishta | Labunishta | Stadion Kalishta | |
| FK Pelister | Bitola | Stadion Tumbe Kafe | 8,000 |
| FK Skopje | Skopje | Stadion Zhelezarnica | 3,000 |
| FK Struga | Struga | Stadion Gradska Plazha | 800 |
| FK Teteks | Tetovo | AMS Sportski Centar Tetovo | 2,000 |
| FK Velazerimi | Kichevo | Velazerimi Arena | 3,000 |