1998–99 Macedonian First Football League

The 1998–99 Macedonian First League was the 7th season of the Macedonian First Football League, the highest football league of Macedonia. The first matches of the season were played on 9 August 1998 and the last on 29 May 1999. Sileks were the defending champions, having won their third title in a row. The 1998-99 champions were Sloga Jugomagnat who had won their first title.

Promotion and relegation
1 Bregalnica Shtip was removed from the league after the round 19, due to their absence in a scheduled match against Sloga Jugomagnat. Their matches from round 14 were annulled.

Top goalscorers
Source: Top15goalscorers.blogspot.com