Tetovo has a rich sporting tradition, in different sports. Tetova clubs have always succeeded in competitions. Most developed sports in Tetova are: football, volleyball, basketball, skiing, martial arts, tennis etc..

Tetovo has two football stadiums, one of them meets the standards of the UEFA and FIFA-s, also for the development of sport at the top rail is the construction of sports hall, which will contribute to the development and establishment of quality sports in the municipality of Tetovo.

Football has long tradition in this region. In the year 1919 was formed the first football club "Luboten. Other football clubs are: "Shkëndija 79", "Renova" (part of the first national league), "Teteksi" etc..

Another sport through which tetovars are known is volleyball. The teams Shkëndija and Liria in men's competition and Studenti of Bami Kor-Medika in woman's competition are competing teams in different competitions.In Tetovo is also active the climbers’ association "Luboteni" - the oldest climbers’ association in Macedonia, formed in 1925. Under its organization are: the traditional manifestation of climbing the peak Titov Vrv, which is held since 1980 and climbing in Leshnicë which is held since 1954.