Pharmaceuticals and personal care products (PPCPs) are a new pollutant of widespread concern at home and abroad, and their presence in the water environment of the Arctic region has attracted great attention of governments and environmental organizations. The source, concentration, distribution, and fate of PPCPs in the Arctic water environments were reviewed in this paper. The river transportation from pan-Arctic regions, long-distance transportation by the atmosphere or the ocean, direct discharge of waste liquids, and residues from sewage treatment plants were found as the main pathways for PPCPs entering into the Arctic water environments. The antiepileptic drugs, non-steroidal anti-inflammatory drugs (NSAIDs), antidepressants, stimulants, and plasticizers were typical PPCPs in the Arctic water environments, and they had "pseudo-persistence", which were similar to the environmental behavior of PPCPs in the water environments of the non-Arctic regions. At present, researches on the pollution control technology of PPCPs in the Arctic region, the pollution level of PPCPs in the Arctic freshwater environment, the physical and chemical properties of PPCPs in the Arctic water environments and their environmental behaviors need to be improved.