The 1977–78 Macedonian Republic League was the 34th since its establishment. FK Tikvesh won their 2nd championship title.

Participating teams

Club City
11 Oktomvri Prilep
Balkan Skopje
Belasica Strumica
Gostivar Gostivar
Jugokokta Skopje
Karaorman Struga
Kozhuf Gevgelija
Kumanovo Kumanovo
Ohrid Ohrid
Osogovo Kochani
Pelister Bitola
Pobeda Valandovo
Skopje Skopje
Sloga Skopje Skopje
Sloga Vinica Vinica
Tikvesh Kavadarci
Transkop Bitola
Vardar Negotino

Final table

Pos Team Pld W D L GF GA GD Pts
1 Tikvesh 34 20 8 6 69 35 +34 48
2 Pelister 34 17 9 8 52 23 +29 43
3 Kozhuf 34 12 13 9 40 35 +5 37
4 Pobeda Valandovo 34 14 8 12 37 29 +8 36
5 Vardar Negotino 34 13 10 11 38 34 +4 36
6 Osogovo 34 12 12 10 45 45 0 36
7 Jugokokta Gjorche Petrov 34 12 11 11 54 48 +6 35
8 Sloga Vinica 34 13 9 12 45 56 −11 35
9 Sloga Skopje 34 11 12 11 54 42 +12 34
10 Karaorman 34 13 8 13 39 39 0 34
11 Transkop Bitola 34 13 8 13 40 43 −3 34
12 Belasica 34 14 5 15 54 45 +9 33
13 11 Oktomvri 34 9 15 10 50 47 +3 33
14 Skopje 34 9 15 10 32 35 −3 33
15 Balkan 34 10 13 11 37 53 −16 33
16 Kumanovo 34 10 9 15 48 46 +2 29
17 Ohrid 34 10 6 18 39 75 −36 26
18 Gostivar 34 5 7 22 31 74 −43 17
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