question: Microplastics (MPs) have become a global environmental concern while soil plastic pollution has been largely overlooked. In view of the severe antibiotic contamination in arable soils owing to land application of sewage sludge and animal manure, the invasion of MPs along with antibiotics may pose an unpredictable threat to soil microbial communities and ecological health. In this work, polyethylene MPs and ciprofloxacin (CIP) were applied to a soil microcosm to investigate the CIP degradation behavior and their combined effects on soil microbial communities. Compared with that of the individual amendment of CIP, the co-amendment of CIP and MPs reduced the CIP degradation efficiency during the 35 d cultivation period. In addition, the high-throughput sequencing results illustrated that the combined loading of MPs and CIP in soil significantly decreased the microbial diversity compared with that of individual contamination. As for the community structure, the microbial compositions at the phylum level were consistent among all treatments, and the most dominant phyla were Proteobacteria, Actinobacteria, and Chloroflexi. At the genus level, only one genus, namely Arthrobacter, was remarkably changed in the CIP-amended soil compared with that in the blank control, but four genera were significantly altered in the MPs-CIP co-amended soil. Serratia and Achromobacter were abundant in the combined polluted soil, which might have been involved in accelerated depletion of soil total nitrogen based on redundancy analysis. These findings may contribute to the understanding of bacterial responses to the combined pollution of MPs and antibiotics in soil ecosystems.