Established in 1930, the league comprises 12 teams. The top two teams earn direct promotion to Kategoria Superiore, while the teams ranked 3rd to 6th enter a playoff tournament.
The winner faces the 8th-placed team from Kategoria Superiore in a promotion play-off match. At the other end of the table, the bottom two teams are relegated to Kategoria e Dytë, while the teams finishing 9th and 10th must compete in a relegation play-off to retain their spot in the league.[1]