The first club to be promoted was Al-Bukayriyah who were promoted following a 1–1 away draw against Al-Jandal on 16 March 2019.[7] The second club to be promoted was Hetten following a 2–0 home win against Afif on 29 March 2019.[8] The third club to be promoted was Al-Thoqbah who were promoted following a 3–1 home win against Arar on 29 March 2019.[9] The fourth and final club to be promoted was Al-Taqadom who were promoted on the final matchday following a 3–0 home win against Al-Muzahimiyyah.[10]