North Macedonia is a crucial region for understanding the spread of agriculture into the Mediterranean and Central Europe. To date, however, the area has been subject to relatively limited archaeological research. Here, the authors present use-wear and archaeobotanical analyses on material from two Neolithic sites, Govrelevo and Vrbjanska Čuka, to investigate practices that were previously unstudied in this part of the Balkans, such as sowing, cultivation and harvesting techniques. The results suggest the presence of permanent crop fields located in wetlands, with autumn and spring sowing, and harvesting using curved sickles. The study illuminates early agricultural practices in North Macedonia and adds to our knowledge of the spread of the Neolithic package across Europe.