The extent of microplastics in African freshwater systems remains less investigated. In Sudan, there is no single study reporting microplastics in water bodies. This scoping study aimed to investigate the presence and characteristics of microplastics (MPs) in Nile Tilapia fish from the River Nile in Khartoum, Sudan. The digestive tracts of the fish were digested using 10% potassium hydroxide, and microplastic particles were extracted by density separation using sodium iodide. 567 particles of different sizes (0.04–4.94 mm), shapes (fibers, fragments, films, foams, and pellets), and colours (mostly green, black, blue, and grey) were identified as microplastics. The average abundance of microplastics was 72.02 ± 62.06 particles/kg, and the average intensity was 18.90 ± 9.17 MPs/fish. Small-sized (<1 mm), fibrous-shaped, and coloured microplastics were most abundant in all samples, representing 56%, 85%, and 84%, respectively. Surface examination by SEM showed signs of fragmentation such as cracks, pits, and pores. Two polymer types (high-density polyethylene and polypropylene) were identified by Raman spectroscopy. The predominance of fibers and fragments (94.5%) over pellets (0.35%) and the apparent signs of fragmentation may indicate that MPs are mostly secondary MPs. Wastewater effluent, domestic discharge, and recreational activities are the potential sources. This scoping investigation provided the first data on microplastic presence in the River Nile in Khartoum, and it could be used to guide future studies to fill research gaps in the region.