Fourteen clubs compete in the league, playing each other twice, once at home and once away for a total of 26 games per team. The top two clubs are promoted to the third division and the bottom three are relegated to regional levels.
The Cypriot Fourth Division Championship began in the 1985-86 season. Initially, the championship was played in three regional groups: Nicosia group, Limassol-Paphos group, and Larnaca-Famagusta group. In the 1988-89 football season there was an extra regional group in Nicosia and Larnaca. Since the 1993-94 football season, the Cypriot Fourth Division Championship is running in Pancyprian level.