Wastewater treatment plant (WWTP) discharges are major contributors to the release of microplastics (MPs) into the environment. This research work aimed to assess the performance of the novel living membrane bioreactor (LMBR), which utilizes a biological layer as a membrane filter for the removal of polyethylene (PE) MPs from wastewater. The impact of an intermittently applied low current density (0.5 mA/cm2) on the reduction of MPs in the electrochemically enhanced LMBR (e-LMBR) has also been examined. The reactors were also compared to a conventional membrane bioreactor (MBR) and an electro-MBR (e-MBR). 1H nuclear magnetic resonance spectroscopy (1H NMR) was implemented for the MPs detection and quantification in terms of mass per volume of sample.The LMBR and MBR achieved comparable mean PE MPs reduction at 95% and 96%, respectively. The MPs mass reduction in the e-LMBR slightly decreased by 2% compared to that achieved in the LMBR. This potentially indicated the partial breakdown of the MPs due to electrochemical processes. Decreasing and inconsistent NH4-N and PO4-P removal efficiencies were observed over time due to the addition of PE MPs in the MBR and LMBR. In contrast, the integration of electric field in the e-MBR and e-LMBR resulted in consistently high values of conventional contaminant removals of COD (99.72–99.77 %), NH4-N (97.96–98.67%), and PO4-P (98.44–100.00%), despite the MPs accumulation.Integrating electrochemical processes in the e-LMBR led to the development of a stable living membrane (LM) layer, as manifested in the consistently low effluent turbidity 0.49 ± 0.33 NTU. Despite the increasing MPs concentration in the mixed liquor, applying electrochemical processes reduced the fouling rates in the e-LMBR. The e-LMBR achieved comparable efficiencies in contaminant reductions as those observed in the e-MBR, while using a low-cost membrane material.