North Macedonia🇲🇰

At a Glance

How North Macedonia compares across key indices

Quality of Life128Safety59Healthcare56Affordability35Climate80Clean Air77

Cost of Living

35 vs NYC

100 = NYC

Safety Index

59/100

Healthcare

56/100

Quality of Life

128/200

Climate

80/100

Cost of Living

How far your money goes in North Macedonia

Cost of Living

35

100 = NYC baseline

Rent Index

7

100 = NYC rent

Groceries

34

100 = NYC groceries

Restaurant Prices

29

100 = NYC dining

Monthly costs range from $844 in Bitola to $1,094 in Skopje

City Costs Comparison

Bitola

Cheapest

$844/mo

Food$78

Tetovo

$1,001/mo

Food$79

Skopje

$1,094/mo

Food$94

Safety & Crime

Moderate Risk

How safe residents feel in North Macedonia — based on surveys of people living there

Safety Index

59/100

Crime Index

41/100

Lower is better

Crime Trend

61/100

Crime perceived as increasing

Walking Safety

Daytime79
Nighttime60

19 point drop from day to night

Problem Severity

Corruption & bribery
Very High83
Drug-related crime
Moderate47
Property crimes
Moderate46
Violent crimes
Low34

0 = no problem, 100 = severe problem

What Residents Worry About

Things stolen from car
Low42
Home broken into
Low41
Being insulted or harassed
Low39
Being physically attacked
Low36
Targeted for skin/ethnicity/religion
Low36
Being mugged or robbed
Low34
Car stolen
Low27

Based on 368 survey responses. 0 = not worried, 100 = very worried.

Cities in North Macedonia

North Macedonia has 3 cities with Numbeo data. Monthly costs for a single person range from $844 in Bitola to $1,094 in Skopje. Skopje leads on safety, scoring 54/100. Skopje ranks highest for quality of life at 117/200.

💸Most Affordable

Bitola

$844/mo

Safest

Skopje

54/100

Best Quality of Life

Skopje

117/200

Best Healthcare

Skopje

55/100

CityMonthly CostSafetyQuality of LifeHealthcarePollution
Bitola$844———59
Tetovo$1,001———95
Skopje$1,09454/100117/20055/10082

Data from Numbeo. Monthly cost estimates are for a single person including rent. Pollution: lower score = cleaner air. Click column headers to sort.

Compare Cities Side by Side

Detailed comparison of cost of living, safety, and quality of life

Healthcare

Healthcare system overview for North Macedonia

Healthcare Index

56/100

Quality Breakdown

Accuracy & Completeness56/100
Staff Skill & Competency53/100
Friendliness & Courtesy48/100
Speed of Service47/100
Modern Equipment46/100
Responsiveness & Waitlist41/100
Cost Satisfaction68/100

How satisfied residents are with healthcare costs relative to quality

Based on 133 survey responses

Insurance Coverage

Public
60.9%
Employer Sponsored
30.8%
None
4.5%
Private
3.8%
Healthcare56Safety59Quality of Life128
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Environment

Polluted

Air quality, water, and environmental conditions in North Macedonia

Pollution Index

77/100

Lower is better

Environmental Quality

Drinking Water Quality58/100
Green Spaces & Parks34/100
Comfortable to Spend Time31/100
Garbage Disposal28/100
Clean & Tidy26/100
Air Quality25/100

Concerns

Noise & Light Pollution53/100
Water Pollution50/100

0 = no concern, 100 = severe concern

Based on 523 survey responses. Perception scores are 0–100 where higher is better unless noted.

Transport & Commute

How people get around in North Macedonia

Average One-Way Commute

24minutes

Short

Traffic Index

85

Below average congestion

Inefficiency

72

Time wasted in traffic

CO2 Emissions

2.2kg/trip

How People Commute

Car41.3%
Walking30.7%
Bus/Trolleybus14.7%
Bicycle8.0%
Working from Home5.3%

Based on 75 survey responses.

Frequently Asked Questions

Common questions about living in North Macedonia, answered with data

What is the cost of living in North Macedonia?

North Macedonia has a cost of living index of 35 relative to New York City (100). It is significantly cheaper than the US. Monthly costs for a single person start around $844 in Bitola and reach $1,094 in Skopje.

What is the cheapest city in North Macedonia for expats?

Bitola is the most affordable city in North Macedonia with Numbeo data, with estimated monthly costs of $844 for a single person including rent. Tetovo is the next most affordable at $1,001/mo.

Is North Macedonia safe for expats?

North Macedonia has a safety index of 59/100, making it generally safe for expats and travellers. Among cities with data, Skopje scores highest on safety at 54/100.

What is the best city in North Macedonia for expats and digital nomads?

Skopje ranks highest for quality of life in North Macedonia, scoring 117/200 on Numbeo's quality of life index. Monthly costs there run around $1,094/mo for a single person. For budget-conscious expats, Bitola offers the lowest monthly costs at $844/mo.

How good is healthcare in North Macedonia?

North Macedonia scores 56/100 on Numbeo's healthcare index, making it adequate by global standards. This index reflects the overall quality of the healthcare system, medical staff, and facilities.

Is North Macedonia cheaper than the United States?

Yes. North Macedonia's cost of living is roughly 65% lower than New York City and generally cheaper than most major US cities. Rent specifically is around 93% cheaper. This makes it a popular destination for remote workers looking to stretch their dollar.

What is the air quality and pollution like in North Macedonia?

North Macedonia has a pollution index of 77/100 (lower = cleaner). Pollution can be a concern in urban areas. Research specific cities before committing, as rural and coastal areas typically fare better.

Before You Go

Your pre-departure checklist for North Macedonia

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