Microplastics (MPs) have gained a serious attention as an emerging contaminant throughout the world because of their persistence and possible risks to aquatic ecosystems and human well-being. However, knowledge on MPs contamination from sub-tropical coastal systems is limited, and no study has been conducted on the MPs contamination in sediment from one of the highest sediment-laden estuaries, Meghna River, in the world. This is the first study to examine the quantity, morpho-chemical characteristics and contamination risk level of MPs from this large scale river. MPs were extracted from the sediment samples of 10 stations along the banks of the estuary by density separation, and then characterized using a stereomicroscope and Fourier Transform Infrared (FTIR) spectroscopy. The incidence of MPs varied from 12.5 to 55 item/kg dry sediment with an average of 28.67 ± 10.80 item/kg. The majority (78.5%) of the MPs were under 0.5 mm in size, with fibers being the most (74.1%) prevalent MPs type. Polypropylene (PP) was found to be the predominant polymer (53.4%), followed by polyethylene (PE, 20%), polystyrene (PS, 13.3%), and polyvinyl chloride (PVC, 13.3%). The highest occurrence of PP indicted the MPs in the estuary might be originated from clothing and dying industries, fishing nets, food packages, and pulp industries. The sampling stations were contaminated with MPs as shown by the contamination factor (CF) values and pollutant load index (PLI), both of which were >1. This study exposed new insights on the status of MPs in the sediments of the Meghna River, laying the groundwork for future research. The findings will contribute to estimate the global share of MPs to the marine environment.