Piala Belgia 2018–19
Putaran Kelima

Beberapa pertandingan putaran kelima dibatalkan karena tim amatir (tingkat 3 dan di bawahnya) secara otomatis mendapat keuntungan sebagai tuan rumah jika mereka memenuhi persyaratan stadion terkait tempat duduk, pencahayaan, dan keselamatan.  Tim amatir diperbolehkan menjual keunggulan kandangnya.
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| 25 August 2018 Match 265 | Lierse Kempenzonen (3) | 2–3 | Lommel (2) | Lier |  |
| 20:00 CEST | Meeus  31' Buyens  66' | Laporan | Rocha  46', 81' Valcke  83' | Stadion: Herman Vanderpoortenstadion  |     |
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| 26 August 2018 Match 266 | Westhoek (4) | 0–4 | Virton (3) | Ypres |  |
| 16:00 GMT |  | Laporan | Lazaar  13' Lecomte  23' Koré  44', 53' | Stadion: Crackstadion  Penonton: 200  |     |
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| 26 August 2018 Match 267 | Givry (5) | 4–4 (p.w.) (3–5 a.p.) | Knokke (3) | Givry |  |
| 16:00 GMT | Baillet  Schinckus  (pen.) Sylla  Freid  |  | Vanfleteren  Vandewalle  Van Eyk  |  |     |
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| 26 August 2018 Match 268 | Duffel (4) | 3–0 | Westerlo (2) | Duffel |  |
| 16:00 GMT | Vertonghen  26' Van den Buys  43', 74' |  |  | Stadion: Sportcentrum@Duffel  |     |
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| 25 August 2018 Match 269 | Sint-Niklaas (4) | 0–1 (p.w.) | Harelbeke (4) | Nieuwkerken-Waas |  |
| 20:00 GMT |  |  |  |  |     |
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| 25 August 2018 Match 270 | Union SG (2) | 3–0 | City Pirates Antwerp (4) | Forest, Brussels |  |
| 20:00 GMT | Gérard  5' Vercauteren  54' Tau  80' |  |  | Stadion: Stade Joseph Marien  |     |
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| 27 August 2018 Match 271 | KV Mechelen (2) | 2–0 | Albert Quévy-Mons (5) | Mechelen |  |
| 20:30 GMT | Tainmont  65', 82' |  |  | Stadion: Achter de Kazerne  |     |
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| 26 August 2018 Match 272 | Olsa Brakel (4) | 2–3 (p.w.) | Eendracht Aalst (3) | Brakel |  |
| 16:00 GMT | Lkoutbi  69', 89' |  | Heymans  48' De Rock  90' Bounou  116' |  |     |
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| 26 August 2018 Match 273 | Heist (3) | 3–0 | Menen (4) | Heist-op-den-Berg |  |
| 16:00 GMT | Webers  (pen.) Orye  |  |  |  |     |
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| 25 August 2018 Match 274 | Tubize (2) | 7–0 | Stade Brainois (5) | Tubize |  |
| 20:00 GMT | Diawara  Henrique  Rosenthal  Naah  Traore  |  |  | Stadion: Stade Leburton  |     |
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| 26 August 2018 Match 275 | Olympic Charleroi (4) | 2–1 | Roeselare (2) | Charleroi |  |
| 16:00 GMT | Gorry  43' Luvuezo  61' |  | Van der Weg  4' | Stadion: Stade de la Neuville  |     |
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| 25 August 2018 Match 276 | Hoogstraten (4) | 4–0 | Entente Acren Lessines (4) | Hoogstraten |  |
|  | Van Huffel  43' Maes  52', 75' Meeuwis  58' |  |  |  |     |
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| Match 277 | ASV Geel (3) | 0–2 | Beerschot Wilrijk (2) |  |  |
|  |  |  | Vanzeir  28' (pen.) Okotie  66' |  |     |
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| 25 August 2018 Match 278 | Deinze (3) | 6–0 | RWDM47 (3) | Deinze |  |
|  | Mertens  4', 42' Brulmans  23', 46' Tarfi  62' Lallemand  78' | Laporan |  | Stadion: Burgemeester Van de Wiele Stadion  |     |
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| 26 August 2018 Match 279 | Mandel United (4) | 1–1 (p.w.) (6–5 a.p.) | Temse (4) |  |  |
|  | Debouver  84' |  | Van Kerckhoven  59' |  |     |
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| 25 August 2018 Match 280 | Dessel Sport (3) | 3–1 | OH Leuven (2) | Dessel |  |
| 20:00 GMT | Lenaerts  5' Breugelmans  23' Vosters  84' | Laporan | Aguemon  69' | Stadion: Armand Melisstadion  |     |
^ Urutan pertandingan dibalik karena tim non-profesional mendapat keuntungan sebagai tuan rumah.
^ Urutan pertandingan terbalik karena stadion tim non-profesional tidak memenuhi persyaratan atau keunggulan kandang dijual.