Although several studies of microplastics (MPs) with size <5 mm in lake sediments focused on lakeshore areas, there have been no studies of distributions of MPs from lakeshores to the center of a lake. To test our hypothesis that MPs decrease from lakeshore to the center, a study was conducted on the largest brackish lake on the remote and high-altitude Tibetan Plateau, China. Abundances and characteristics of MPs in 14 samples of surface sediment collected from a river bay, a lake bay, and a lake central area were investigated. Distributions were influenced by river inflow, tourism, and minimal activity of humans, respectively around Qinghai Lake. The mean abundance of MPs in sediments of Qinghai Lake was 393 ± 457 items/kg, dry mass (dm). Based on the range of MP abundances in surface sediments of lakes worldwide, Qinghai Lake was classified as being moderately polluted with MPs. The dominant color, shape, size, and polymer type of MPs in sediments were transparent, fiber, 0.05–1 mm, and polypropylene, respectively. The river bay had a mean abundance of MPs two-fold greater than either the bay or central area of the lake. This indicates that the river catchment caused more pollution with MPs, while the central area of the lake was not a sink for MPs. Spatial trends of MPs in sediments from the shore to the center of the lake differed among areas, and were significantly related to wind, lake current, sedimentation rate, water- and sediment-properties, water depth, and proximity to land sources of MPs.