| Season | Champion | Clubs playing at a higher level |
| 1944–45 | Makedonija Skopje | — |
| 1945–46 | Pobeda Skopje | — |
| 1946–47 | Makedonija Skopje | Pobeda S (I) |
| 1947–48 | Dinamo Skopje | Vardar (I), Rabotnički (II) |
| 1948–49 | 11 Oktomvri Kumanovo | Dinamo, Vardar (II) |
| 1949–50 | Rabotnik Bitola | 11 Oktomvri, Vardar (II), Rabotnički (III) |
| 1950–51 | Rabotnik Bitola | Rabotnički, Vardar (II) |
| 1951–52 | Pobeda Prilep | Rabotnički, Vardar (I) |
| 1952–53 | Rabotnički Skopje | Vardar (I) |
| 1953–54 | Pobeda Prilep | Rabotnički, Vardar (I) |
| 1954–55 | Metalec Skopje | Vardar (I), Rabotnički (II) |
| 1955–56 | Belasica Strumica | Bregalnica, Metalec, Pobeda, Rabotnički, Rabotnik, Vardar (II) |
| 1956–57 | Pelister Bitola | Vardar (I), Belasica, Metalec, Pobeda, Rabotnički (II) |
| 1957–58 | Belasica Strumica | Vardar (I), Pelister, Pobeda, Rabotnički, Sloga (II) |
| 1958–59 | Pobeda Prilep | Vardar (I), Rabotnički (II) |
| 1959–60 | Pelister Bitola | Vardar (II) |
| 1960–61 | Pelister Bitola | Vardar (I), Pobeda (II) |
| 1961–62 | Pobeda Prilep | Vardar (I) |
| 1962–63 | Pobeda Prilep | Vardar (II) |
| 1963–64 | Bregalnica Štip | Vardar (I), Pobeda (II) |
| 1964–65 | Teteks Tetovo | Vardar (I), Bregalnica, Pobeda (II) |
| 1965–66 | Rabotnički Skopje | Vardar (I), Pobeda (II) |
| 1966–67 | Bregalnica Štip | Vardar (I), Pobeda, Rabotnički (II) |
| 1967–68 | Rabotnički Skopje | Vardar (I), Bregalnica, Pobeda (II) |
| 1968–69 | Teteks Tetovo | Vardar (I), Bregalnica, Pobeda, Rabotnički, Tikveš (II) |
| 1969–70 | MIK Skopje | Vardar (I), Bregalnica, Pobeda, Rabotnički, Teteks, Tikveš (II) |
| 1970–71 | Kumanovo | Bregalnica, MIK, Pobeda, Rabotnički, Teteks, Vardar (II) |
| 1971–72 | Tikveš Kavadarci | Vardar (I), Bregalnica, Kumanovo, MIK, Pobeda, Rabotnički, Teteks (II) |
| 1972–73 | Rabotnički Skopje | Vardar (I), Bregalnica, Kumanovo, Pobeda, Teteks, Tikveš (II) |
| 1973–74 | Teteks Tetovo | Vardar (I), Kumanovo, Pobeda, Rabotnički (II) |
| 1974–75 | Pelister Bitola | Vardar (I), Kumanovo, Pobeda, Rabotnički, Teteks (II) |
| 1975–76 | Bregalnica Štip | Vardar (I), Pelister, Pobeda, Rabotnički, Teteks (II) |
| 1976–77 | Rabotnički Skopje | Bregalnica, Pobeda, Teteks, Vardar (II) |
| 1977–78 | Tikveš Kavadarci | Bregalnica, Pobeda, Rabotnički, Teteks, Vardar (II) |
| 1978–79 | Pobeda Prilep | Teteks, Tikveš, Vardar (II) |
| 1979–80 | Rabotnički Skopje | Vardar (I), Pobeda, Teteks (II) |
| 1980–81 | Pobeda Prilep | Vardar (I), Rabotnički, Teteks (II) |
| 1981–82 | Pelister Bitola | Teteks, Vardar (I), Pobeda (II) |
| 1982–83 | Belasica Strumica | Vardar (I), Pelister, Teteks (II) |
| 1983–84 | Bregalnica Štip | Vardar (I), Belasica, Pelister, Teteks (II) |
| 1984–85 | Teteks Tetovo | Vardar (I), Belasica, Bregalnica, Pelister (II) |
| 1985–86 | Pobeda Prilep | Vardar (I), Belasica, Bregalnica, Pelister, Teteks (II) |
| 1986–87 | Metalurg Skopje | Vardar (I), Belasica, Pelister, Pobeda, Teteks (II) |
| 1987–88 | Belasica Strumica | Vardar (I), Metalurg, Pelister, Pobeda, Teteks (II) |
| 1988–89 | Borec Veles | Vardar (I), Belasica, Pelister (II), Bregalnica, Metalurg, Ljuboten, Osogovo, Pobeda, Sileks, Teteks (III-E) |
| 1989–90 | Balkan Skopje | Vardar (I), Pelister (II), Belasica, Borec, Bregalnica, Metalurg, Pobeda, Sileks, Teteks (III-E) |
| 1990–91 | Makedonija Gjorče Petrov | Pelister, Vardar (II), Balkan, Borec, Bregalnica, Pobeda, Sileks, Teteks (III-E) |
| 1991–92 | Sasa Makedonska Kamenica | Pelister, Vardar (I), Balkan, Teteks (II), Belasica, Borec, Bregalnica, Makedonija GjP, Osogovo, Pobeda, Sileks (III-E) |
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