The 2009–10 Macedonian First League was the 18th season of the Macedonian First Football League, the highest football league of Macedonia. It began on 1 August 2009 and ended on 19 May 2010. Makedonija G.P. were the defending champions having won their first Macedonian championship last season.

Promotion and relegation

1 Makedonija G.P. and Sloga Jugomagnat were expelled from the First League due to boycotting two matches in the season. However, Napredok was directly promoted. 2 Pobeda was expelled from the First League due to the eight-year suspension from FIFA for their involvement in match-fixing scandal.

Participating teams

League table

Results

The schedule consists of three rounds. During the first two rounds, each team plays each other once home and away for a total of 22 matches. This season, due to the suspension of two teams, each team will play a total of 20 games. The pairings of the third round will then be set according to the standings after the first two rounds, giving every team a third game against each opponent for a total of 29 games per team.

Matches 1–22

Relegation playoff

Top goalscorers

Source: Soccerway