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Promotion ~ CAF Champions League (Qualification: )
Relegation
Standings
2023/24| Pl | W | D | L | Diff | Pts | |||
| 1 | Samartex | 26 | 15 | 4 | 7 | 36:20 | 16 | 49 |
| 2 | Nations FC | 26 | 13 | 5 | 8 | 30:19 | 11 | 44 |
| 3 | Aduana | 26 | 14 | 0 | 12 | 37:28 | 9 | 42 |
| 4 | Medeama | 26 | 11 | 6 | 9 | 22:19 | 3 | 39 |
| 5 | Accra Lions | 26 | 11 | 6 | 9 | 30:31 | -1 | 39 |
| 6 | Bechem United | 25 | 10 | 8 | 7 | 30:21 | 9 | 38 |
| 7 | Nsoatreman | 26 | 11 | 5 | 10 | 22:22 | 0 | 38 |
| 8 | Berekum Chelsea | 26 | 11 | 5 | 10 | 24:29 | -5 | 38 |
| 9 | Hearts of Oak | 26 | 8 | 11 | 7 | 27:23 | 4 | 35 |
| 10 | Bibiani Gold Stars | 26 | 9 | 8 | 9 | 34:32 | 2 | 35 |
| 11 | Asante Kotoko | 26 | 9 | 6 | 11 | 23:24 | -1 | 33 |
| 12 | Great Olympics | 26 | 8 | 9 | 9 | 19:21 | -2 | 33 |
| 13 | Legon Cities | 25 | 9 | 5 | 11 | 20:27 | -7 | 32 |
| 14 | Dreams | 24 | 8 | 7 | 9 | 26:26 | 0 | 31 |
| 15 | Bofoakwa Tano | 26 | 6 | 12 | 8 | 18:24 | -6 | 30 |
| 16 | Karela | 26 | 7 | 9 | 10 | 24:33 | -9 | 30 |
| 17 | Heart of Lions | 26 | 5 | 10 | 11 | 20:25 | -5 | 25 |
| 18 | Real Tamale | 26 | 7 | 4 | 15 | 27:45 | -18 | 25 |
Promotion ~ CAF Champions League (Qualification: )
Relegation
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