The fourth edition took place in Skopje from 27 to 31 March 2019. The laureate is violinist Leonardo Dimoski.
The concerts opened with cellist Miltiadis Cassaras from Greece at Daut Pasha Hamam, followed by a gala concert in the Chamber Hall of the Macedonian Philharmonic and a concert by Jelena Tihomirović (piano) and Metod Sironić (flute). Seminars were given by Hajdi Elzeser (piano), Metod Sironić (flute), Vesna Coufal (solo singing) and Drilon Çoçaj (guitar).