2022–23 Macedonian Second Football League

The 2022–23 Macedonian Second Football League was the 31st season of the Macedonian Second Football League, the second division in the Macedonian football league system. That was the first season since the league was returned to the united league format, for the first time since 2016–17 season. The season began on 20 August 2022.

Relegation play-offs
Osogovo and Novaci were also promoted because they were drawn as a lucky losers.