Atenolol (ATL) that can decrease heart rate and reduce renin release is extensively used in the treatment of hypertension, angina, and other diseases. ATL's popularity has therefore drawn attention to its environmental behavior and potential impacts. Wastewater treatment plants (WWTPs) are the main collection point for ATL entering the water environment, highlighting the necessity of studying its fate in the environment. In this study, five WWTPs with different processes in China's representative densely urban agglomerations (Pearl River Delta [PRD] region) were selected as certain representative sampling sites to investigate the fate of ATL in the WWTPs over four seasons. Results showed that ATL concentration in the influent of these WWTPs was 146.5-918.6ng/L and the corresponding concentration in the effluent was 43.0-534.1ng/L, achieving a certain degree of removal. The seasonal ATL removal performance varied greatly among these WWTPs, Liede, Tai Po, and Sha Tin WWTPs showed better removal stability. Meanwhile, the average ATL removal rates in Tai Po (83.36%) and Sha Tin (81.67%) were higher than those in the Futian (71.24%), Liede (55.44%), and Stonecutters Island WWTPs (44.96%). The primary treatment capacity of Futian WWTP was better than that of Tai Po and Sha Tin WWTPs in removing ATL, while the performance of secondary treatment was opposite. Moreover, Zahn-Wellens test demonstrated that ATL could be almost completely degraded after 30 days and some protonated molecules (e.g., m/z 145 and m/z 190) metabolites were formed, indicating that degradation may play a role in ATL removal in WWTPs.