No, the water supply in North Macedonia is not considered safe for drinking by health authorities.
In North Macedonia, while some urban areas treat water, distribution systems are outdated and prone to contamination. Travelers unfamiliar with local water sources are at higher risk.
Quick Overview
Tap Water Concern: Our Advice Tap Water Drinkable? ❌ No, use bottled water Common Risks: Bacteria, parasites, viruses Brush Teeth? ❌ No, use bottled water Wash Fruits/Vegetables? ❌ No, use filtered or bottled water Use Ice in Drinks? ❌ No, avoid unless purified Safe to Shower? ✅ Yes Filter Bottle Needed? ✅ Strongly recommended
Source: CDC Travelers’ Health, WHO water safety reports, and regional public health agencies.
Worried About Tap Water? Consider Using a Filter Bottle
To help you travel smarter, we’ve reviewed the most dependable filter bottles out there—recommended by travelers, tested for safety, and designed for convenience. They make it easier to drink tap water without worry, reduce your plastic waste, and keep costs low, which is why we’ve shared our top choices right below.
Health Risks for Travelers
Locals might drink the tap water every day without a second thought, but for travelers, it’s a different story. Your body isn’t used to the bacteria or water treatment systems, which can lead to a not-so-fun experience.
What you could be dealing with:
- E. coli and other bacteria causing traveler’s diarrhea
- Parasites like Giardia from untreated or poorly filtered water
- Hepatitis A or norovirus picked up in areas with poor sanitation
- Even heavy metals if the pipes are outdated or the source is unregulated
Problem spots include:
- Remote villages and rural zones
- Places where floods disrupt the water supply
- Older hotels or buildings using rooftop tanks or old plumbing
Bottom line: clean-looking water isn’t always clean. When you’re abroad, it’s smart to stay alert to water quality and protect yourself from getting sick.
If you experience persistent symptoms while traveling in North Macedonia, consult a local doctor or pharmacist. In many tourist areas, English-speaking care is available.
More About Tap Water in North Macedonia
Water quality in North Macedonia varies widely by region. In cities, tap water is generally safe to drink, but in rural areas, infrastructure is often outdated. About 89% of households are connected to the public water supply. Investments have been made in modern treatment facilities—like the one in Vinica—to improve water quality.
FAQs About Tap Water in North Macedonia
Is it safe to brush your teeth with tap water?
Many travelers use bottled water for brushing, just to eliminate any chance of contamination.
Can I use tap water to wash my face?
Yes, you can usually wash your face with tap water without any problems, as long as you don’t swallow it.
Is it safe to use ice in drinks?
If the tap water isn’t safe to drink, the ice probably isn’t either—so skip it unless you know it’s filtered.
Can I shower safely with tap water?
Unless you have open cuts or very sensitive skin, you can shower normally in North Macedonia.
Even clean-looking water can be harsh on your skin when you’re abroad. A travel shower filter screws on in seconds and can help. Just check that the showerhead isn’t recessed or built into the wall—you’ll need access to connect it. This one’s a traveler favorite for a reason. Click here to check it out.
Can I wash fruits and vegetables with tap water?
Washing fruits and vegetables with tap water isn’t ideal—use clean, treated water instead.
Is bottled water expensive in North Macedonia?
While it might cost more in remote areas, bottled water is generally accessible and not too expensive.
North Macedonia is frequently visited as part of a Balkan trip, often in combination with Albania, Bulgaria, or Serbia. Tap water quality varies between countries, so it’s good to be informed.