This is a list of islands of the Republic of Macedonia. Since the country is landlocked, all its islands are situated in lakes or rivers. The largest island in the Republic of Macedonia is Golem Grad in Prespa Lake with an area of 0.18 km², and also the only one found in a natural lake (the rest are themselves natural, but situated in artificial lakes).
River islands are found mainly in course of the Vardar that stretches from the central to the southern part of the country. Of special note are those found in Valandovo Municipality. (41°11′46″N 22°32′14″E / 41.19611°N 22.53722°E).