The influence of internal and external parasites on the health of Polish konik horses housed in different types of management strategies in Poland is discussed. This study includes consolidated data of different authors from the past 50 years, supplemented by results of more recent research. A total of 38 species of helminths (i.e., 37 Nematoda and one Cestoda) and five Diptera species were recorded from the horses. Protozoan parasites, Cryptosporidium spp. and Theileria equi, and the Rickettsiales, Anaplasma phagocytophilum, were observed for the first time in Poland.