2023–24 Macedonian Second Football League

The 2023–24 Macedonian Second Football League was the 32nd season of the Macedonian Second Football League, the second division in the Macedonian football league system. This was the second season since the league was returned to the united league format, for the first time since 2016–17 season. The season began on 12 August 2023.

The winners (Besa) and runners-up (Pelister) were promoted to the 2024–25 Macedonian First Football League. The third-placed team (Detonit Plachkovica) qualified for the Macedonian First Football League play-off. The fourteenth-placed team (Pobeda) qualified for the Macedonian Second Football League play-off. The bottom two teams (Teteks and Karaorman) were relegated to the 2024–25 Macedonian Third Football League.

Macedonian Second Football League play-off
The fourteenth-placed team (Pobeda) qualified for the Macedonian Second Football League play-off alongside the five group winners from the 2023–24 Macedonian Third Football League (Borec, Korabi Debar, Kumanovo, Vardarski, and Vëllazërimi J 1977). The six teams were randomly drawn against each other for the final three places in the 2024–25 Macedonian Second Football League.