The Macedonian First Football League is the top professional football division in North Macedonia. Established in 1992, it features several clubs competing for the championship title each season. The league operates on a system of promotion and relegation with the Macedonian Second Football League. The league typically consists of 10 teams that play each other in a round-robin format. At the end of the season, the team with the most points is crowned the champion, while the bottom teams face relegation. The league also serves as a pathway for clubs to qualify for European competitions.