Soil microplastic pollution poses a significant threat to the integrity of terrestrial ecosystems and agricultural sustainability. This review provides a comprehensive synthesis of recent progress on soil microplastic (MP) sources, ecological impacts, and separation technologies. Agricultural practices (e.g., residual plastic mulch and wastewater irrigation) and atmospheric deposition serve as primary drivers of contamination accumulation, with pronounced spatial heterogeneity observed across regions. Predominant MP types such as polyethylene, polystyrene, and polypropylene disrupt soil structure and biogeochemical processes through three core mechanisms: physical interference, chemical toxicity, and biological accumulation. These particles further form carrier–pollutant complexes, exacerbating ecotoxicological impacts across trophic levels. While emerging separation techniques like magnetic separation and solvent extraction demonstrate enhanced efficiency, their implementation faces challenges stemming from soil matrix complexity and high operational costs. This article underscores the need for global collaborative efforts to accelerate innovation in biodegradable polymers, offering practical pathways for sustainable soil management.