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The most unique mosque in North Macedonia, the Šarena Džamija (meaning "Decorated Mosque") was built in 1438. It was, however, reconstructed in 1833 by Abdurrahman Pasha, when it received its present appearance. Abdurrahman Pasha was an art enthusiast which helps explain why the mosque has bright floral paintings, unlike other Ottoman mosques which typically have ceramic tile decor. More than 30,000 eggs were used to prepare the paint and glaze that went into the elaborate decorations. In addition to the geometric and floral ornamentation, landscape is also encountered. Among the pictorial decorations, especially attractive is the depiction of Mecca, a rare and perhaps the only example of an illustration of the shrine of Muhammad in southeast Europe. Another uncommon feature of this mosque is that it is not topped by a domed roof. The courtyard contains a türbe (tomb), a fountain, and is filled with flowers. The mosque sits on Ilindenska Boulevard just west of the Pena River.

Built in the 15th century, this hamam (Turkish bath) sits across the river from the Šarena Džamija on Ilindenska Boulevard. The hamam, also known as the Bey's Hamam, and the mosque were built around the same time. In 1962, the stone-built structure was transformed into an art gallery. It was completely renovated in 2015.

A tekje is a place of spiritual retreat in the Bektashi Order, a type of Sufi Islam, similar to a monastery. This one is the best surviving Bektashi tekje in Europe. The sprawling complex was established in 1538. Ali Baba, brother-in-law of Sultun Suleiman the Magnificent, was banished to Tetovo in the 16th century. He practiced the way of the Bektashi Order until his death, after which his only surviving pupil Arabati Baba founded a monastery to commemorate Ali Baba. The current buildings in the complex were built in the late 18th century by Recep Pasha whose tomb lies next to that of Ali Baba. Some of the buildings are in good shape while others are in poor condition. After the Ottomans were driven out of Macedonia, the complex was nationalised under Yugoslavia and used as a hotel and museum. Today, in the Republic of North Macedonia, the complex is back in the hands of the Bektashi Order.

Situated on the hill Baltepe above the city on the east bank of the Pena River, this fortress was first inhabited during Late Antiquity. Most of the visible remains date from 1820, built under Abdurrahman Pasha. It now sits in ruins with walls, arches, and tunnels. A couple structures stand pretty well-preserved.

Tetovo is where the Communist Party of Macedonia was founded in the 1940s. The museum is in the former Jovanovski family home where the communist committee, including chairman Lazar Koliševski, was first appointed

This unique estate was built by local Ottoman ruler Alim Bey as his personal residence. It is asymmetrical in design with Baroque elements. Built with three floors, the western facade is the most prominent with its hexagonal tower. Friezes and other details can be found all around the house.