The presence of medicinal products has been reported in the Antarctic marine environment but still little is known about the bioaccumulation of these compounds. This study was set up to detect and quantify pharmaceutical residues in benthic biota from Admiralty Bay, King George Island (South Shetland Islands, Antarctica). Pharmaceuticals and stimulants were analysed using LC-MS/MS in dominant epibenthic macroorganisms that were collected at eight nearshore sublittoral sites (water depth 3–30 m) by a SCUBA diving team during austral summer (February 2023). Out of 22 analytes, only the stimulant caffeine (CAF) and the antiepileptic carbamazepine (CBZ) have been identified in the macrobenthic algae and invertebrates indicating a relatively low contamination level of the bay. The analytes were detected predominantly in the northern part of the bay (Mackellar Inlet and Martel Inlet) which reflects likely their elevated environmental concentrations in this area and suggests that local research stations represent the main source of pharmaceutical contamination. Irrespective of the sampling site, both compounds were found almost exclusively in brown and red macroalgae highlighting their potential for uptake and accumulation of CAF and CBZ. This study provided the first evidence of the presence of medicinal substances in the Antarctic macrobenthic organisms and can serve as a baseline for environmental risk assessment.