This chapter presents a comprehensive analysis of the Macedonian competition law landscape spanning from 2012 to 2022, a period of significant legal, regulatory, and economic change. It delves into the institutional framework, explores national specifics, and analyses enforcement by the Commission for the Protection of Competition (hereinafter CPC) and courts in North Macedonia. By examining the data available from the CPC and the case law, this research provides insights into the enforcement, trends, and challenges surrounding competition law during this transformative decade. Judicial review, private enforcement, and the current landscape of competition law are scrutinised, offering a thorough assessment. By exploring these aspects, the chapter contributes to a more comprehensive understanding of the Macedonian competition law framework, emphasising the key role of enforcement, and presenting a nuanced perspective on the CPC’s evolving priorities.