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The 2008–09 Midland Football Combination season was the 72nd in the history of Midland Football Combination, a football competition in England.

Premier Division

The Premier Division featured 18 clubs which competed in the division last season, along with three new clubs, promoted from Division One:

Also, Barnt Green Spartak changed name to GSA.

Pos	Team	Pld	W	D	L	GF	GA	GD	Pts	Promotion or relegation
1	Loughborough University	40	31	3	6	96	34	+62	96	Promoted to the Midland Football Alliance
2	Castle Vale	40	27	8	5	84	42	+42	89
3	Southam United	40	24	10	6	83	36	+47	82
4	Oldbury Athletic	40	26	4	10	101	55	+46	82	Transferred to the West Midlands (Regional) League
5	Heather St John's	40	18	12	10	68	45	+23	66
6	Nuneaton Griff	40	18	10	12	64	51	+13	64
7	Walsall Wood	40	18	9	13	59	50	+9	63
8	Pilkington XXX	40	17	6	17	79	83	−4	57
9	Coventry Copsewood	40	16	8	16	75	66	+9	56
10	Heath Hayes	40	17	5	18	56	79	−23	56
11	Cadbury Athletic	40	16	7	17	62	57	+5	55
12	Knowle	40	13	11	16	50	64	−14	50
13	Pershore Town	40	13	10	17	59	81	−22	46^[a]
14	GSA	40	13	6	21	64	84	−20	45
15	Massey Ferguson	40	11	11	18	61	72	−11	44
16	Brocton	40	11	8	21	60	71	−11	41
17	Continental Star	40	11	7	22	70	84	−14	40
18	Bartley Green	40	11	8	21	58	81	−23	38^[b]
19	Bolehall Swifts	40	10	7	23	43	71	−28	37
20	Meir KA	40	9	8	23	52	87	−35	35
21	Coton Green	40	5	12	23	59	110	−51	27	Relegated to Division One