Microplastics (MPs) represent a persistent class of emerging contaminants, of which significant amounts can be found in sewage sludge. In this study, the effect of hydrothermal carbonization (HTC) temperature on MPs and the properties of digested sewage sludge (DSS) was evaluated. The HTC process was carried out at temperatures of 200, 210, and 220 for 2 h in a batch reactor, and the solid products were subjected to (i) mass balance and fuel properties and (ii) microplastic occurrence analysis using Confocal Raman Microspectroscopy and Scanning Electron Microscopy. In digested sludge, 2700 ± 475 MP particles/100 g d.m. were detected, mostly fragments with ~350 ± 100 fibers. Hydrocharcontained only black and brown fragments in the following amounts: 4175 ± 575 (200 ), 4450 ± 700 (210 ), and 1450 ± 590 (220 ), respectively, after 2 h. The microplastic removal rate was 54% for the highest temperature. Polystyrene (PS) was identified in untreated sludge, while only PE was detected after HTC at 200–210 , and no MPs were identifiable at 220 . The surfaces of post-MPs exhibited progressive degradation with increasing HTC temperature. The results confirm that HTC lowers the content and alters the physicochemical properties of microplastics, reducing their thermal stability and degrading their structure, while simultaneously improving the fuel properties of hydrochars by increasing the calorific value and carbon content.