Almost all aspects of cellular and multicellular activities depend on macromolecular interactions. [1] In this context, macromolecular displacement refers to the effect exerted by high in vivo concentrations of molecules in the cytoplasm. [2] Such crowding in living systems has major implications for all cellular activities and biochemical processes such as enzyme activity and protein stability. [1] Macromolecular solutions such as biopolymers, like polyethylene glycol (PEG) or proteins, have been used to replicate the crowded environment inside living cells. The advantage of well-defined molecules like PEG is that, unlike in vivo, they are easy to handle and chemically and physically well-defined to study protein interactions, enzymatic processes, [1] and cell membrane fusion. [3] PEG, for example, acts simply by volume exclusion, resulting in an osmotic force that fuses membranes in a dehydrated region; thus, the role of various lipids and fusion proteins has also been studied previously. [3] Recently, the mechanism of cellular uptake of PEG has been well described by Wang and his team. [3] The uptake of PEGylated nanoparticles occurs rapidly by endocytosis, while pure PEG does not form nanoparticles. [4] Also different mechanisms for cell entry have been described: Low molecular weight (MW) PEG up to 2000 Da (at various concentrations from 50 to 1000 μM) can enter the cell by passive diffusion; [4] however, with slower kinetics for higher MW PEG (2000 Da) than for lower MW PEG (750 Da). [4] On the contrary, the contribution of passive diffusion to the uptake of higher MW PEG is low and the uptake occurs mainly by endocytosis, suggesting aggregation of higher MW PEG. [4] Another study by Yang et al. [4] investigated the distribution, trafficking and exocytosis of PEG in vitro. After incubation of 3 Â 10 7 cells with 5 mM PEG of 5000 Da, a total amount of 62 μg PEG accumulated inside the cells. Specifically, internalized PEG is first transported to endosomes and from there to lysosomes. [5] After, it can either be transferred into the cytosol, endoplasmic reticulum, and mitochondria or leave the cells by exocytosis, [5] or is degraded by hydrolytic and proteolytic activities. [6] During this intracellular redistribution process, PEG has a very high residence time in cells, which can even exceed 96 h. [5] When the concentration of extracellular solutes increases by PEG addition, water is forced out of the cell by osmotic pressure which leads to a decreased cell volume with strong effects on the cells' physiological processes, cytotoxicity, and mechanics. [7,8] PEG is considered to be almost nontoxic in medical applications; [9] however, cytotoxicity of different MWs and concentrations of PEG has been reported in various crowding studies, [9][10][11][12] mainly due to hyperosmotic stress. [9] Metabolically activated low MW PEG (200-400 Da) has also been reported to have genotoxic effects on numerous cell lines. [13] While the mechanism and cytotoxicity of PEG internalization are well studied, and first studies hav...