As of May 2026, the population of North Macedonia is 2.1 million. The number of inhabitants has decreased by 1 thousand in the last year, representing a decline of 0.04%. The median age of the population has increased in recent years, rising from 36.5 years in 2016 to 40.1 years in 2026. Currently, life expectancy at birth is 78.4 years and population density is 83.6 inhabitants per square kilometer.
The population growth rate of North Macedonia peaked in 1950, reaching around 2.72% annually, but has since declined to approximately -0.05% in 2026. The annual increase in the number of people has also decreased from a peak of around 34.04 thousand in 1950 to nearly -1.13 thousand in 2026.
In North Macedonia, life expectancy at birth has been increasing, with the indicator rising from 74 years in 2006 to 78.4 years in 2026, representing an increase of more than 4 years over the past 2 decades.
The cities of North Macedonia are small, with the 5 most populated adding up to around 757.8 thousand inhabitants. The most populous city is Skopje, Grad Skopje, con una diferencia significativa sobre las demás, alcanzando approximately 474.9 thousand inhabitants. It is followed by Kumanovo with 75.1 thousand and Prilep with 73.8 thousand.
These are the 20 most populous cities in North Macedonia:
| # | City | Population |
|---|---|---|
| 1 | Skopje, Grad Skopje | 474,889 |
| 2 | Kumanovo | 75,051 |
| 3 | Prilep | 73,814 |
| 4 | Bitola | 69,287 |
| 5 | Čair, Grad Skopje | 64,773 |
| 6 | Tetovo | 63,176 |
| 7 | Kisela Voda, Grad Skopje | 58,216 |
| 8 | Veles | 57,873 |
| 9 | Gostivar | 50,974 |
| 10 | Shtip | 48,279 |
| # | City | Population |
|---|---|---|
| 11 | Centar Župa, Centar Zhupa | 45,412 |
| 12 | Ohrid | 42,033 |
| 13 | Gjorče Petro, Grad Skopje | 41,000 |
| 14 | Kavadarci | 38,799 |
| 15 | Struga | 37,387 |
| 16 | Butel, Grad Skopje | 36,154 |
| 17 | Kochani | 34,258 |
| 18 | Strumica | 33,825 |
| 19 | Kičevo, Kichevo | 31,123 |
| 20 | Lipkovo | 28,102 |