The invention generally relates to a method of making a plastic aggregate, and its use to make concrete products. The aggregate is formed by providing a granulated waste plastic material, introducing the granulated waste plastic material into an extruder having a die, the die having a ratio of die nozzle open area to die land area of about 1:10 to about 1:40, and extruding the granulated waste plastic material through the extruder to generate an extruded plastic aggregate. The method can include the presence of controlled cooling, the addition of additives and treatment of the surface of the aggregate to produce a desired aggregate that can be used to make a concrete product with desired properties, such as compressive strength and weight.