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! |Notes
|- style="background: #90EE90;"
| 1 ||style="text-align:left"|[[FKФК PobedaПобеда|PobedaПобеда]]|| 33 || 22 || 5 || 6 || 78 || 42 || +36 || '''71''' || <small>[[2004–05 UEFA Champions League#First qualifying round|Champions League<br />1st Qualifying Round]]</small>
|- style="background: #97DEFF;"
| 2 ||style="text-align:left"|[[FKФК SileksСилекс|SileksСилекс]]|| 33 || 20 || 6 || 7 || 67 || 32 || +35 || '''66''' || <small>[[2004–05 UEFA Cup#First qualifying round|UEFA Cup<br />1st Qualifying Round]]</small>
|- style="background: #ccccff;"
| 3 ||style="text-align:left"|[[FKФК VardarВардар|VardarВардар]]|| 33 || 17 || 9 || 7 || 66 || 39 || +27 || '''60''' || <small>[[2004 UEFA Intertoto Cup#First round|Intertoto Cup<br />First Round]]</small>
|-
| 4 ||style="text-align:left"|[[FKФК RabotničkiРаботнички|RabotničkiРаботнички Кометал]]|| 33 || 16 || 10 || 7 || 58 || 40 || +18 || '''58'''
|- style="background: #97DEFF;"
| 5 ||style="text-align:left"|[[FKФК SlogaСлога JugomagnatЈугомагнат|SlogaСлога JugomagnatЈугомагнат]]|| 33 || 17 || 6 || 10 || 69 || 36 || +33 || '''57''' || <small>[[2004–05 UEFA Cup#First qualifying round|UEFA Cup<br />1st Qualifying Round]]</small>
|-
| 6 ||style="text-align:left"|[[FK Madžari Solidarnost|Madžari Solidarnost]]|| 33 || 14 || 8 || 11 || 44 || 30 || +14 || '''50'''
|-
| 7 ||style="text-align:left"|[[FKФК Cementarnica 55Цементарница|CementarnicaЦементарница 55]]|| 33 || 11 || 12 || 10 || 48 || 41 || +7 || '''45'''
|-
| 8 ||style="text-align:left"|[[FKФК BashkimiБашкими|BashkimiБашкими]]|| 33 || 14 || 1 || 18 || 43 || 54 || -11 || '''43'''
|-
| 9 ||style="text-align:left"|[[FKФК NapredokНапредок|NapredokНапредок]]|| 33 || 12 || 5 || 16 || 51 || 52 || -1 || '''41'''
|-
| 10 ||style="text-align:left"|[[FKФК BelasicaБеласица|BelasicaБеласица]]|| 33 || 10 || 6 || 17 || 37 || 55 || -18 || '''36'''
|- style="background:#FF6666"
| 11 ||style="text-align:left"|[[GFKФК TikvešТиквеш|TikvešТиквеш]]|| 33 || 5 || 4 || 24 || 25 || 61 || -36 || '''19''' || rowspan="2"|<small>Relegated to<br />[[2004–05 Second Macedonian Football League|Second League]]</small>
|- style="background:#FF6666"
| 12 ||style="text-align:left"|[[FKФК BregalnicaБрегалница DelčevoДелчево|BregalnicaБрегалница DelčevoДелчево]]|| 33 || 2 || 4 || 27 || 20 || 124 || -104 || '''7*'''
|}
| 