China is facing increasing marine microplastic pollution. Despite the fact that the South China Sea is the largest marine area in China, the ecological danger and present state of microplastic contamination in this region have not been systematically and comprehensively investigated. This study analyzed the abundance, distribution, and characteristics of microplastics in different environmental media and biological samples from the Xisha Islands in the South China Sea, and then the ecological risk assessment of microplastic pollution in this area was conducted. The findings indicated that the quantities of sediments, soil, water, fish, and birds were 41.56 ± 19.12 items/kg, 92.94 ± 111.05 items/kg, 2.89 ± 1.92 items/L, 2.57 ± 2.12 items/ind, and 1.702 ± 1.50 items/ind, respectively. By evaluating the pollution load index (PLI), polymer hazard index (PHI), and potential ecological risk index (PERI), the PLI of the Xisha Islands in the South China Sea as a whole indicated that the hazard level was slightly polluted, the PHI was at a high-risk level, and the PERI samples were at no risk, except for the soil and seawater, which were at a medium-risk level.