North Macedonia competed at the 2019 World Aquatics Championships in Gwangju, South Korea from 12 to 28 July.
Open water swimming
North Macedonia qualified one male open water swimmer.
AthleteEventTimeRankEvgenij Pop AcevMen's 10 km1:52:43.051Men's 25 km4:54:39.913 Swimming
North Macedonia entered four swimmers.
Men AthleteEventHeatSemifinalFinalTimeRankTimeRankTimeRankFilip Derkoski400 m freestyle4:07.9945colspan=2 did not advance800 m freestyle8:35.5438colspan=2 did not advanceDavor Petrovski200 m butterfly2:06.3344did not advance200 m individual medley2:10.7445did not advance
Women AthleteEventHeatSemifinalFinalTimeRankTimeRankTimeRankMia Krstevska100 m backstroke1:06.0049did not advance200 m backstroke2:23.1337did not advanceEva Petrovska800 m freestyle9:12.7136colspan=2 did not advance1500 m freestyle17:35.1829colspan=2 did not advance
References