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Plastic pollution is one of several anthropogenic stressors putting pressure on ecosystems of the Caribbean Large Marine Ecosystem (CLME). A 'Clean Ocean' is one of the ambitious goals of the United Nations (UN) Decade of Ocean Science for Sustainable Development. If this is to be realized, it is imperative to build upon the work of the previous decades (1980-2020). The objectives of the present study were to assess the state of knowledge about: (i) the distribution, quantification, sources, transport and fate of marine debris/litter and microplastics in the coastal/marine environment of the CLME and, (ii) the effects of plastics on biodiversity. Snapshots, i.e., peer-reviewed studies and multi-year (1991-2020) marine debris data from International Coastal Cleanup (ICC) events, indicated that plastic debris was a persistent issue in multiple ecosystems and environmental compartments of the CLME. Collectively, a suite of approaches (debris categorization, remote sensing, particle tracking) indicated that plastic debris originated from a combination of land and marine-based sources, with the former more significant than the latter. Rivers were identified as an important means of transporting mismanaged land-based waste to the marine environment. Oceanic currents were important to the transport of plastic debris into, within and out of the region. Plastic debris posed a threat to the biodiversity of the CLME, with specific biological, physical, ecological and chemical effects being identified. Existing data can be used to inform interventions to mitigate the leakage of plastic waste to the marine environment. Given the persistent and transboundary nature of the issue, further elucidation of the problem, its causes and effects must be prioritized, while simultaneously harmonizing regional and international approaches., (Copyright © 2022 Elsevier Ltd. All rights reserved.)