With microplastics (MPs) being continuously found in various environments, the pollution of water supply systems by MPs is receiving increasing attention. As the sediment in drinking water distribution systems (DWDSs), pipe scales act as the interface for complex reactions between bulk water and pipe surfaces. Consequently, the fate of MPs in pipe scales requires exploration, especially colloidal MPs. In this study, MPs were detected in different pipe scale layers, with concentrations of 0.32–3.10 items g−1. Subsequently, the adsorption interaction mechanisms between pipe scales and colloidal polystyrene microplastics (PSMPs) were investigated through batch adsorption experiments. The findings indicated that pipe scales showed a potential adsorption capacity for PSMPs. The adsorption kinetics and isotherms results demonstrated that the PSMP adsorption process was physically dominant and complicated. van der Waals and electrostatic interactions, hydrogen bonding, and pore filling were the main adsorption mechanisms. These results verify that colloidal MPs can be adsorbed by pipe scales, demonstrating that pipe scales play an essential role in the fate of colloidal MPs in DWDSs and the quality and security of drinking water. The secondary release of MPs from pipe scales is also worthy of attention due to the environmental and health risks.