Microplastics (MPs) are emerging pollutants in aquatic environments that threaten ecological health. This study investigated the adsorption process and mechanism of a coal gasification slag-based adsorbent in a liquid–solid fluidized bed to remove MPs from an aquatic environment. The results showed that the coal gasification slag-based adsorbent had high MP adsorptive removal efficiency of up to 1400 mg/g and adsorption-removal efficiency of 99.2 %. The adsorption process was mainly dominated by electrostatic attraction, π-π absorption, and surface complexation, supplemented by partial physical adsorption. The adsorbent dosage mo was the dominant factor affecting the adsorption performance of the liquid–solid fluidized bed for the continuous adsorption of MPs, followed by the initial MP concentration co and ascending water velocity vt. At a suitable combination of operating parameters (co = 250 mg/L; mo = 2.5 g; vt = 0.11 m/s), the adsorption saturation level of the liquid–solid fluidized bed reached 0.95, which was higher than that of the traditional fixed bed (0.91), indicating good MP adsorption performance. This study provides a new technical approach for MP removal from aquatic environments that is conducive to the industrial application of fluidized beds in the field of wastewater treatment.