Microplastics (MPs) pollution has raised serious environmental concerns due to its widespread generation and discharge across global ecosystems. It is estimated that approximately 400 million metric tons of plastic are produced annually, with 54% ending up as waste. The MPs account for a significant portion of this pollution. These MPs interact with heavy metals (HMs) in terrestrial ecosystems, such as cadmium (Cd), lead (Pb), and arsenic (As), which are introduced through various industrial activities at rates of thousands of tons per year. Such interactions may cause synergistic or antagonistic effects on plants. Recent studies suggest that MPs and HMs exposure impacts various physiological and biochemical pathways in plants, thereby increasing the toxicity symptoms. However, the existing scholarly understanding of the coupled effect of HMs and MPs on plants is limited, highlighting the need to explore these complex dynamics further. Through a comprehensive analysis of current research, this review underscores various pathways of MPs and HMs infiltration mechanisms, detailing their penetration, translocation, and bioaccumulation within plants. The physiological and biochemical effects of both pollutants on plants are deliberated individually and in combination. The review reveals that the co-existence of these contaminants results in a multifaceted environmental challenge, affecting overall plant growth, yield, and quality in ways that differ from individual exposure. Building on recent advancements, this article is expected to delineate the complex interactions between MPs, HMs, and plants and enhance the current understanding of the intricate interplay between them.