Introduction: Microplastics is a new type of global pollutant that can absorb pollutants in the environment and enter the food chain. Arsenic (As) is a kind of heavy metal element, and its pollution to the environment has been concerned. Nowadays, the threat of both to Marine ecology is gradually increasing, and people are paying more attention to the harm of microplastics and heavy metal pollution to human health. Method: The aim of this paper is to study the adsorption of arsenic by microplastics and the toxic effects of the combination of the two on clams. The toxicity effects of microplastics and As (III) on clams were determined by joint toxicity test. The fatality rates caused by microplastics polypropylene (PP), polyethylene (PE), polystyrene (PS), polyvinyl chloride (PVC) and polymethyl methacrylate (PMMA) with concentrations between 10 mg/L and 500 mg/L adsorbed with As (III) in first 48 h were 0-30.0%, 0-10.0%, 0-30.0%, 0-15.0% and 0-50.0% (larval clams); 0-35.0%, 0-25.0%, 0-30.0%, 0-50.0% and 0-15.0% (adult clams), respectively. Results: Compared with the group of As (III) alone, the fatality rates caused by PP, PE, PS, PVC and PMMA after 48 h increased dramatically to 80%, 62%, 40%, 60% and 70% (larval clams); 85%, 72%, 40%, 72% and 65% (adult clams), respectively. Conclusion: The death rate of clams was proportional to the input of microplastic particles containing As (III), that is, the higher the concentration used, the higher the fatality rates and the faster the death rates of clams.