Due in large part to its proximity to Skopje, Matka Canyon is a popular destination for citizens and tourists. The canyon is one of Macedonia's foremost areas for alpine hiking. The climbing season begins around Easter and ends in November. Kayaking on the Treska River is a popular activity, as are fishing, hunting, and swimming

The Painted Mosque (Šarena Džamija) in Tetovo is a stunning 15th-century mosque known for its vibrant, hand-painted exterior and richly decorated interior. Unlike traditional Ottoman mosques, it features intricate floral and geometric patterns, making it one of the most unique mosques in the Balkans. Situated by the Pena River, it offers a blend of Islamic and Baroque artistic influences, creating a mesmerizing cultural landmark.

The Arabati Baba Tekke in Tetovo is a 16th-century Bektashi Sufi shrine, offering a peaceful retreat with its courtyards, fountains, and traditional Ottoman architecture. Once a spiritual center for the Bektashi Order, it remains an important cultural and religious site, reflecting the rich Sufi heritage of the Balkans.