The emergence of microplastics (MPs) pollution as a global environmental concern has attracted significant attention in the last decade. The majority of the human population spends most of their time indoors, leading to increased exposure to MPs contamination through various sources such as settled dust, air, drinking water and food. Although research on indoor MPs has intensified significantly in recent years, comprehensive reviews on this topic remain limited. Therefore, this review comprehensively analyses the occurrence, distribution, human exposure, potential health impact and mitigation strategies of MPs in the indoor air environment. Specifically, we focus on the risks associated with finer MPs that can translocate into the circulatory system and other organs, emphasizing the need for continued research to develop effective strategies to mitigate the risks associated with MPs exposure. Our findings suggest that indoor MPs impose potential risk to human health, and strategies for mitigating exposure should be further explored.