In order to identify how research contributes to the knowledge of marine litter as a pressure on beaches, we reviewed interactions of beach fauna with this pollutant. Entanglement of pinnipeds in fishing gear, negative correlations between macroinvertebrates abundance and sediment pollution, and the presence of plastic surrounding burrows were primary evidence of beach fauna interacting with stranded litter. Ingestion represents the main body of research; microplastic uptake by invertebrates has been studied by laboratory experiments and field collections to report the presence of polymers in tissues. In the natural context, the higher the urbanization surrounding beaches and sediment pollution, the higher the concentration of microplastics in organs of bivalves. This approach currently constitutes the main research direction, but ecotoxicological assays are emerging prospects to assess the effects of exposure to microplastics. Beached macroplastics entangle and entrap invertebrates and vertebrates, and studies have reported increasing negative interactions with seals and sea turtles. Changes in nesting and feeding behavior of resident and transient organisms have been shown as typical early warning indicators of marine litter impacts. The focus on fauna–litter interactions holds terrific potential for research and citizen science projects, which finally becomes a powerful driver towards environmental awareness on sandy beaches.