people walking on street during nighttime
aerial view of houses on mountain
a row of street lamps sitting next to each other

Is North Macedonia Safe?

North Macedonia is generally safe for travelers, with low risks of violent crime and terrorism. However, petty crime like pickpocketing is common in crowded areas. Political tensions occasionally lead to civil unrest, so monitoring local news is advisable. Travelers should also exercise caution when driving due to poor road conditions and aggressive driving habits.

Download Vigilios

Your Pocket-Sized Travel Safety Guide

A phone displaying the Vigilios app and it's safety features.
App Store

Safety & Security

North Macedonia is generally considered a safe travel destination, with a relatively low crime rate compared to other European countries. However, travelers should exercise caution and take necessary precautions to ensure a safe and enjoyable trip.

  • Petty Crime: While violent crime is rare, petty crimes such as pickpocketing and bag snatching can occur, especially in crowded areas and on public transportation. Remain vigilant and keep valuables secure.

  • Scams: Be wary of common scams targeting tourists, such as overcharging for services or goods, taxi scams, and fake police officers demanding bribes.

  • Civil Unrest: Although infrequent, political demonstrations and civil unrest can occur, particularly in the capital city of Skopje. Avoid large gatherings and monitor local news for updates.

  • Terrorism: The risk of terrorism in North Macedonia is low, but travelers should remain vigilant and follow the advice of local authorities in case of any incidents.

  • Disputes: Disputes or confrontations with locals should be avoided, as they may escalate quickly. Exercise patience and seek assistance from local authorities if necessary.

It's advisable to register with your embassy or consulate upon arrival, familiarize yourself with local laws and customs, and keep a low profile to minimize risks during your stay in North Macedonia.

Health & Medical

North Macedonia is generally a safe travel destination from a health perspective, but there are a few considerations to keep in mind. The country has a good healthcare system, but medical facilities in rural areas may be limited. It's advisable to have comprehensive travel insurance that covers medical emergencies.

  • Routine Vaccinations: Ensure routine vaccinations are up-to-date, including measles-mumps-rubella (MMR), diphtheria-tetanus-pertussis, chickenpox, polio, and yearly flu shots.
  • Food and Water Safety: Tap water is generally safe to drink in major cities, but bottled water is recommended in rural areas. Avoid unpasteurized dairy products and undercooked meat or seafood.
  • Insect-Borne Diseases: There is a risk of tick-borne encephalitis in forested areas, especially during spring and summer. Use insect repellent and cover exposed skin.
  • Air Pollution: Air pollution levels can be high in urban areas, particularly during winter months. Those with respiratory conditions should take precautions.
  • Medical Facilities: Private clinics and hospitals in Skopje and other major cities offer good medical care, but facilities may be limited in rural regions.

Natural Disasters

North Macedonia is generally not prone to major natural disasters, but there are a few risks that travelers should be aware of. The country experiences occasional earthquakes due to its location in an active seismic region. While most quakes are minor, stronger tremors can occur and cause damage to infrastructure.

  • Earthquakes are the primary natural hazard, with the country experiencing moderate seismic activity. Travelers should familiarize themselves with safety procedures in case of an earthquake.

  • Floods can occur during periods of heavy rainfall, particularly in spring and fall. Flash floods may disrupt transportation and cause property damage in affected areas.

  • Severe Thunderstorms with heavy rain, strong winds, and hail are possible during the warmer months. These can lead to power outages and disrupt travel plans.

  • Wildfires are a risk during hot, dry summers, especially in forested areas. Smoke from nearby fires can impact air quality.

While the overall risk is relatively low, travelers should stay updated on weather conditions and follow any advisories or instructions from local authorities during adverse natural events.


Public transportation in North Macedonia is generally safe but can be unreliable, especially in rural areas. Taxis are widely available in cities and are a convenient option, though negotiating fares beforehand is advisable. Road conditions vary greatly, with well-maintained highways contrasting poorly maintained rural roads.

  • Road Safety: Exercise caution when driving, as road conditions can be hazardous due to poor maintenance, lack of lighting, and aggressive driving. Avoid driving at night if possible.

  • Public Transportation: Buses and trains connect major cities but can be infrequent and unreliable, especially in rural regions. Services may be limited on weekends and holidays.

  • Taxis: Readily available in cities but negotiate fares upfront to avoid overcharging. Only use licensed taxis from reputable companies.

  • Ride-sharing Services: Popular options like Uber operate in Skopje and other major cities, providing a convenient and generally safe alternative to taxis.

  • Rental Cars: An option for independent travel, but be prepared for poor road conditions outside major routes. Ensure proper insurance coverage.

Cultural Norms

North Macedonia is a culturally diverse country with a rich history and traditions. As a traveler, it's essential to respect the local customs and cultural norms to ensure a smooth and enjoyable experience. Here are some important points to keep in mind:

  • Religious Customs: North Macedonia has a predominantly Orthodox Christian population, with a significant Muslim minority. When visiting religious sites, dress modestly and remove shoes if required. Avoid disrespectful behavior or gestures.

  • Greetings: Handshakes are common when greeting people, and it's polite to maintain eye contact. Greet elders first and use formal titles like "Gospodin" (Mr.) or "Gospođa" (Mrs.) until invited to use first names.

  • Hospitality: Macedonians are known for their warm hospitality. It's customary to bring a small gift, such as chocolates or flowers, when visiting someone's home. Refusing food or drinks offered by hosts is considered impolite.

  • Gestures: Avoid pointing with your index finger, as it's considered rude. Instead, use an open hand or nod your head in the desired direction. Public displays of affection should be kept to a minimum.

  • Festivals and Events: North Macedonia has a vibrant cultural calendar with festivals and events throughout the year. Attending these celebrations can provide valuable insights into the local traditions and customs. Galicnik Wedding Festival and Vevchani Carnival are two popular events worth experiencing.

Respecting the local culture and customs will not only enhance your travel experience but also foster a positive relationship with the locals, making your visit to North Macedonia truly memorable.

Emergency Services

Emergency services in North Macedonia are generally reliable, but may have limited resources and capabilities compared to some other European countries. The availability and quality of services can vary depending on the location, with urban areas typically having better access.

  • Ambulance Services are available throughout the country, but response times can be slower in rural areas. Private ambulance services may offer faster response times in major cities.

  • Fire Services are present in most towns and cities, but may have limited resources in some areas. Response times can be affected by factors such as traffic and distance.

  • Police Services are generally reliable, but language barriers and corruption can sometimes be an issue. Tourist police units are available in some major cities to assist foreign visitors.

  • Medical Facilities range from well-equipped hospitals in larger cities to basic clinics in rural areas. Private hospitals and clinics may offer better services, but at a higher cost.

  • Tourist Assistance Services are limited, but some travel agencies and hotels may provide assistance in case of emergencies. It's advisable to have travel insurance and contact information for your embassy or consulate.

Frequently Asked Questions

A colorful illustration with three people and the letters "FAQ" representing a Frequently Asked Questions section

Is North Macedonia safe for tourists?

North Macedonia is generally safe for tourists. However, it's advisable to exercise caution, especially in crowded areas and at night. Petty crimes like pickpocketing and bag snatching can occur. Avoid carrying valuables and remain vigilant in your surroundings.

Is North Macedonia safe for solo female travelers?

Solo female travelers can feel relatively safe in North Macedonia, but it's still important to take precautions. Avoid walking alone at night, dress modestly, and be cautious of unwanted attention. Research areas to avoid and trust your instincts in potentially unsafe situations.

Is North Macedonia safe for families?

North Macedonia is a family-friendly destination. The locals are welcoming to children, and the country offers a mix of historical sites, natural attractions, and outdoor activities suitable for families. However, be mindful of your surroundings and take necessary safety precautions.

Is North Macedonia LGBTQ+ friendly?

While same-sex relationships are legal in North Macedonia, the LGBTQ+ community still faces societal discrimination and prejudice. Public displays of affection may attract unwanted attention. Exercise caution and research LGBTQ+ friendly areas and accommodations.

Do you need a visa to go to North Macedonia?

Citizens of most Western countries, including the United States, Canada, and the European Union, do not require a visa for stays up to 90 days in North Macedonia. However, a valid passport is mandatory for all visitors.

Can you drink tap water in North Macedonia?

Tap water is generally safe to drink in North Macedonia, especially in major cities. However, it's recommended to drink bottled or filtered water, particularly in rural areas, to avoid potential stomach issues from contamination.

What is the currency in North Macedonia?

The official currency in North Macedonia is the Macedonian Denar (MKD). While credit cards are accepted in larger establishments, it's advisable to carry cash, especially in smaller towns and rural areas.

North Macedonia Travel Advisory

The following government travel advisories provide additional helpful resources for your destination to stay safe and informed.

Download the App

Map, Insights & Support - Vigilios is your Personal Safety Companion

A phone displaying the Vigilios app and it's safety features.
App Store QR LinkApp Store
Google Play QR Link
Coming soon to Android
Google Play