Hamrun Spartans BOV Premier League Champions
Birkirkara FC BOV Premier League Runners-Up
Mosta, Hibernians and Balzan finished joint-fourth but since Hibernians and Balzan had a better record in direct encounters, they qualified for the decider. Decider for fourth place: Hibernians vs Balzan 2-3 aet
Zebbug Rangers and Pieta’ Hotspurs relegated to Challenge League
BOV Premier League 2022/23
| Pos | Club | P | W | D | L | F | A | +/- | Pts |
|---|---|---|---|---|---|---|---|---|---|
| 1 |  Hamrun S. | 26 | 22 | 3 | 1 | 45 | 10 | 35 | 69 |
| 2 |  Birkirkara | 26 | 14 | 8 | 4 | 50 | 20 | 30 | 50 |
| 3 |  Gzira U. | 26 | 14 | 6 | 6 | 46 | 19 | 27 | 48 |
| 4 |  Mosta | 26 | 14 | 4 | 8 | 47 | 33 | 14 | 46 |
| 5 |  Hibernians | 26 | 14 | 4 | 8 | 45 | 37 | 8 | 46 |
| 6 |  Balzan | 26 | 14 | 4 | 8 | 37 | 32 | 5 | 46 |
| 7 |  Valletta | 26 | 9 | 10 | 7 | 37 | 23 | 14 | 37 |
| 8 |  Floriana | 26 | 10 | 7 | 9 | 30 | 26 | 4 | 37 |
| 9 |  Sirens | 26 | 8 | 9 | 9 | 25 | 32 | -7 | 33 |
| 10 |  Gudja U. | 26 | 8 | 5 | 13 | 28 | 39 | -11 | 29 |
| 11 |  Marsaxlokk | 26 | 5 | 10 | 11 | 28 | 38 | -10 | 25 |
| 12 |  Santa Lucia | 26 | 4 | 3 | 19 | 20 | 49 | -29 | 15 |
| 13 |  Zebbug R. | 26 | 4 | 2 | 20 | 21 | 58 | -37 | 14 |
| 14 |  Pietà H. | 26 | 3 | 3 | 20 | 22 | 65 | -43 | 12 |
