It has spoken out against Albanian nationalism in North Macedonia and has opposed the legal expansion of the Albanian language into North Macedonia's judicial system, dubbing it an "an expansionist blast of Albanian nationalism" in favour of the Albanian Democratic Union for Integration, which it considers a "criminal party". The Party deemed the law as only increasing the ethnic rift in North Macedonia, which they opined ought to be a country run by a civic, rather than ethnic character, which they deem would lead to good inter-ethnic relations. It has come out against what it dubbed a division into "Macedonian" and "Albanian" blocs in the country, defining itself as a "supra-ethnic" party. The party's political program continues to refer to the country as the Republic of Macedonia, instead of the constitutional "Republic of North Macedonia" as negotiated in the Prespa agreement.
Foreign policy
The party has vehemently opposed the Prespa agreement and the renaming of the Republic of Macedonia into the Republic of North Macedonia, instead supporting a state-sponsored international campaign for full UN membership under the country's old name. It has also dismissed the renaming of the country as unconstitutional, and as such should be revoked. It has declared its intention to void the agreement, should it come into power in North Macedonia. It has also announced that it would only take part in a coalition government if that government would renounce the Prespa agreement. The party's main reason for opposing the name change is its feeling that the deal is only intended to bring the country closer to NATO's influence, which they see as an imperialist organisation, as well as saying the deal completely absolves Greece of any past actions against Macedonians. The Left opposes NATO, which they accuse of starting imperialist wars and of being a threat to world peace. On this basis, it has called for the suspension of NATO accession talks. It has dubbed North Macedonia’s Foreign Minister Nikola Dimitrov's recognition of Juan Guaidó as Interim President of Venezuela as a "typical stance of a vassalistic and subordinate country that has completely lost its sovereignty as an independent state". The party has supported Nicolás Maduro as President of Venezuela, as it considers him democratically elected. It supports military neutrality for North Macedonia and a "principle of zero problems with neighbouring countries". The latter it defines as "solving problems without bringing historical baggage", friendly relations with Balkans countries and a principle of self-determination, which they opine gives all people the right to define their own name themselves. The party's leader has stated in an interview that North Macedonia’s membership in the European Union might potentially be a positive thing, but that the country should stay out if the cost of membership was a change in its name and identity. In their 2020 general election program, the party put forward the idea that North Macedonia should "withdraw the recognition of the State of Israel, Kosovo and South Korea", while supporting the independence of the State of Palestine, Catalonia and the Basque Country. They also suggested a review of the Friendship Agreement between Bulgaria and North Macedonia, as they consider parts of it to amount to historical revisionism and a "rehabilitation of fascism".
The Left has opposed the government of Zoran Zaev and his Social Democratic Union of Macedonia, accusing them of an "unbecoming attitude" and later of electoral fraud and blackmail. The Left's leader has predicted that SDSM will follow the fate of PASOK in Greece. It also opposed the previous government of Nikola Gruevski, whom they consider an "autocrat", as well as his VMRO-DPMNE. The party has declared a principled opposition to conservatism, clericalism and patriarchy. It is supportive of LGBT rights in the country. The Left celebrates and organises rallies for the Day of Victory over Fascism, being the only Macedonian political party to organize events for the non-official holiday. It has described North Macedonia as undergoing an "ecological cataclysm", which they consider a direct result of the "political and social catastrophe that is happening to all spheres of daily life". The party's electoral program declares support for free healthcare and education and considers neoliberalism and "wild capitalism" to be the root of most of North Macedonia's economic problems. It views healthcare and education, as well as economic growth and organised labour as the "biggest enemies of terrorism" in North Macedonia.