The paper presents the main characteristics of Macedonian mountain tourism - the attractive factors (the main natural and anthropogenic motives), the receptive factors (accommodation and catering facilities) and the communicative factors (traffic network, cable cars, ski lifts). In parallel with the research, several anniversaries are being celebrated in the tude, a century since the beginning of mountaineering (1924-2024), nine decades since the first skiing and the construction of the first mountain lodges, eight decades since the construction of the first mountain hotels and ski centers. We pay considerable attention to the regional overview of mountain tourism, mountain settlements with over 1000 meters above sea level are listed. At the end, we present data on tourist movements (number of tourists and overnight stays) in mountain places for a period of several decades, as well as on other activities in the mountains.