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Unfortunately, you will need an International Driver’s Permit along with a valid US driver’s license in order to rent a car in North Macedonia. Drivers always use the right side of the road, and dimmed headlights are required to be on at all times while the vehicle is in motion. There are fines that apply to violators, so you should make careful note of this.
In general, you must be at least 21 years of age and no older than 75 to rent a car in North Macedonia. For certain vehicle types, you must have held your license for two years (minivans and SUVs). Companies like Enterprise will also apply a young drivers fee of 918 MDK (17 USD) per day to drivers under the age of 24.
It will cost you about 66.50 MKD (approximately 1.23 USD ) to purchase a liter of petrol in North Macedonia and about 4.64 USD for a gallon. You will pay about 4.19 USD for a gallon of diesel and 60 MKD (about 1.11 USD) by the liter. Also, not all petrol stations use credit cards, so be sure to carry some Denar notes in case you need them.
You can drive at speeds up to 130 km/h or about 81 mph when traveling along the highways in North Macedonia, but on rural roads you should reduce your speed to 80-100 km/h (between 49 and 62 mph). When driving around the urban areas, which are more populated, the speed limit is further reduced to 50 km/h or about 31 mph.