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This focus on "hard news" allowed the station to build a demographic of viewers interested in politics, economics, and societal issues, making their live broadcasts a primary source of information during critical national events.

The station is owned by Veselin Jevrosimovikj, though it has faced scrutiny regarding its majority ownership and political affiliations.

Alfa TV MK Vo Živo offers a wide range of programs, including:

The channel features a diverse mix of news, talk shows, documentaries, and entertainment: