This work aims at evaluating the role of nature, size, age, and natural organic matter (NOM) fouling of realistic microplastics (MPs) on the adsorption of two persistent micropollutants (diclofenac (DCF) and metronidazole (MNZ)). For such goal, four representative polymer types (polystyrene (PS), polyethylene terephthalate (PET), polypropylene (PP) and high-density polyethylene (HDPE)) were tested. MPs were obtained by cryogenic milling of different commercial materials (disposable bottles, containers, and trays), and fully characterized (optical microscopic and SEM images, FTIR, elemental analysis, water contact angle and pHslurry). The micropollutants hydrophobicity determined to a high extent their removal yield from water. Regardless of the MP's nature, the adsorption capacity for DCF was considerably higher than the achieved for MNZ, which can be related to its stronger hydrophobic properties and aromatic character. In fact, aromatic MPs (PS and PET) showed the highest adsorption capacity values with DCF (~100 μg g−1). The MP size also played a key role on its adsorption capacity, which was found to increase with decreasing the particle size (20–1000 μm). MPs aging (simulated by Fenton oxidation) led also to substantial changes on their sorption behavior. Oxidized MPs exhibited acidic surface properties which led to a strong decrease on the adsorption of the hydrophobic micropollutant (DCF) but to an increase with the hydrophilic one (MNZ). NOM fouling (WWTP effluent, river water, humic acid solution) led to a dramatic decrease on the MPs sorption capacity due to sorption sites blocking. Finally, the increase of pH or salinity of the aqueous medium increased the micropollutants desorption.