 Kuressaare retained their Meistriliiga spot after winning a relegation playoff against Esiliiga runners-up Elva.At season's end Kuressaare, the ninth place club, participated in a two-legged play-off with the runners-up (of independent teams) of the 2019 Esiliiga, Vaprus, for the spot in 2020 Meistriliiga.Each team played every opponent four times, twice at home and twice away.