Do you need a car?
If you're visiting more than one region, yes — public transport between smaller towns and mountain or wine regions is limited.
What to expect
Rental rates are lower than Western Europe; most agencies require a credit card deposit and a valid license held for at least one year.
Where to pick up
Both Skopje and Ohrid airports have on-site rental desks; city-centre pickup is also widely available and often cheaper.