Although (micro)plastic contamination is a worldwide concern, most scientific literature only restates that issue rather than presenting strategies to cope with it. This critical review assembles the current knowledge on policies and responses to tackle plastic pollution, including peer-reviewed scientific literature, gray literature and relevant reports to provide: (1) a timeline of policies directly or indirectly addressing microplastics; (2) the most up-to-date upstream responses to prevent microplastics pollution, such as circular economy, behavioral change, development of bio-based polymers and market-based instruments as well as source-specific strategies, focusing on the clothing industry, tire and road wear particles, antifouling paints and recreational activities; (3) a set of downstream responses tackling microplastics, such as waste to energy, degradation, water treatment plants and litter clean-up strategies; and examples of (4) multifaceted responses focused on both mitigating and preventing microplastics pollution, e.g., approaches implemented in fisheries and aquaculture facilities. Preventive strategies and multifaceted responses are postulated as pivotal to handling the exacerbated release of microplastics in the environment, while downstream responses stand out as auxiliary strategies to the chief upstream responses. The information gathered here bridges the knowledge gaps on (micro)plastic pollution by providing a synthesized baseline material for further studies addressing this environmental issue.