Microplastics are increasingly recognised as posing a significant environmental threat across systems. Their pervasive presence in freshwater poses a serious concern, given the heavy reliance of both humans and biodiversity on healthy, functioning freshwater ecosystems. Acknowledgment of the potential risks led the transboundary Orange-Senqu River Commission (ORASECOM) to include sampling for microlitter (primarily microplastics) in riverine sediment, surface water, and fishes, across Southern Africa as part of the third Joint Basin Survey (JBS3) in 2021. The aim was to establish a first, basin-wide estimate of microlitter contamination across compartments, setting a baseline for further monitoring. The survey showed that the abundance of microlitter in riverine sediment (0 – 4000 particles.kg-1 dry weight (dw)) and riverine water (1.00 ± 0.71 – 69.75 ± 68.55 SD items.L-1) varied considerably between sample sites, with no correlation between the two. The abundance of microlitter in fishes was low (average of 0.7 ± 0.4 items.individual-1). Course resolution analyses suggested that microlitter concentrations in riverine sediment and riverine water at each site did not correlate with land use directly upstream, though variation in microlitter abundance did isolate some hotspots of contamination. Discharge data collected from nine gauging stations near sampling sites confirmed that low flows prevailed in the system during the study, with high flows occurring approximately 5 months prior during the summer months. There is some variation in river flow across the catchment which is a likely driver of microlitter transport. This was evident in the polymer composition for sediment and water samples. Based on the average discharge at each gauging station and microlitter concentrations measured in riverine water, the estimated microlitter load ranged from ∼889 particles.s-1 to ∼17.9 million particles.s-1, with a substantial amount ending likely up in the mudbelt adjacent to the Orange River mouth. This assessment provides a first insight into the characterisation and distribution of microlitter in multiple compartments across the Orange-Senqu River basin. Overall, the findings highlight the need for continued monitoring across compartments at catchment scales to improve our understanding of microplastic pathways into and within riverine systems.