Microplastics (MPs) can be defined as small pieces of plastics that are less than five millimetres in diameter. MPs can be consumed and may be accumulated by filter-feeding organisms such as mussels. Therefore, this study aimed to determine the acute effects of different types, sizes and concentrations of artificially synthesized MPs on the mortality rate and MP accumulation of the green mussel Perna viridis. The samples were exposed to 66, 333, 666, and 1333 items/L of small MPs (<30 μm), medium MPs (30–300 μm), and large MPs (300–1000 μm) polystyrene (PS), polypropylene (PP), and polybutylene succinate (PBS) for 96 h. MPs accumulation in the soft tissue of mussels and mortality effects from MPs ingestion were assessed. There was no mortality observed in the control group. Small PP particles can lead to more mortality than PS and PBS particles of the same size. However, medium- and large PS caused a higher mortality percentage than the same size particles of PP and PBS. Large PS, PP, and PBS showed higher mortality potential than other sizes. MPs largely accumulated in the soft tissues rather than in gill tissues following the 96-hour exposure period. Increased accumulation of the three types of MPs was accompanied by an increase in the percentage of mussel mortality. The study highlights how particle size and type are key factors in plastic particulate toxicity.