Although studies on plastic concentrations mainly focus on the marine environment, recently, an increasing number of studies point out environmental consequences in freshwater environments around the world. However, there still is a paucity of field data on the abundance of riverine plastic items, in particular in the water column. In this study, we provide an overview of macro- and mesoplastic concentrations, categories, ages, and origin over several years in the water column of the river Waal, in the Netherlands. The river water column was passively sampled at two selected locations using a stow net at very low and low discharges, ranging from 537 m3.s-1 to 1345 m3.s-1. The most dominant macro- and mesoplastic categories were ‘Miscellaneous plastic waste’, including “Plastic film 2.5 - 50 cm (soft)” and “Plastic film 0 - 2.5 cm (soft)” as main categories. Macro- and mesoplastic categories were found to show limited variability during several years of monitoring. The mean macroplastic concentration (± SD) ranged between 2.2 × 10-3 ± 0.001 and 7.4 × 10-3 ± 0.003 particles.m-3 for October 2020 and November 2018, respectively. In 2020, plastic concentrations showed a sharp decrease compared to the previous years, most likely as a consequence of the COVID-19 crisis. The origin of the plastics (e.g., countries) also showed little variability during monitoring. The consistency of several characteristics of the collected plastic suggests that the same sources were responsible for the macro- and mesoplastic input into the river Waal during low discharges and over multiple years. We present the first temporal assessment of macro- and mesoplastic concentrations and composition in the water column of the river Waal. The outcome of the current study can be used to support the development of management measures by decision-makers.