The 1968–69 Macedonian Republic League was the 25th since its establishment. Teteks Tetovo won their 2nd championship title.
Participating teams Club City Balkan Skopje Belasica Strumica Borec Titov Veles BSK Bitola FCU Skopje Skopje Karaorman Struga Kozhuf Gevgelija KSK Kumanovo Ljuboten Tetovo Mavrovo Gostivar MIK Skopje Skopje Ohrid Ohrid Osogovo Kochani Pitu Guli Kruševo Teteks Tetovo Vardar Negotino
Final table
External links SportSport.ba Football Federation of Macedonia