The photodegradation of the most prescribed glucocorticoids (GCs) was studied under relevant environmental conditions in the presence of suspended TiO2. The considered drugs included cortisone (CORT), hydrocortisone (HCORT), betamethasone (BETA), dexamethasone (DEXA), prednisone (PRED), prednisolone (PREDLO), and triamcinolone (TRIAM). The experiments were carried out at concentrations (50 µg L−1) close to the real ones in freshwater samples (tap and river) under simulated and natural sunlight, and their decomposition took place very efficiently under natural sunlight. The reactions were monitored by high-pressure liquid chromatography coupled to electrospray ionization tandem mass spectrometry (HPLC-ESI-MS/MS). According to a pseudo-first-order decay, all drugs underwent degradation within 15 min, following different paths with respect to the direct photolysis. The observed kinetic constants, slightly lower in river than in tap water, varied from 0.29 to 0.61 min−1 with modest differences among GCs in the same matrix. Among main matrix macro-constituents, humic acids (HAs) were the most interfering species involved in GCs degradation. The photogenerated primary products were identified by HPLC-ESI-MS/MS, allowing to elucidate the general photochemical path of GCs. Finally, a comparison with literature data obtained using different advanced oxidation processes (AOPs) highlights the treatment efficiency with TiO2/solar light for removing such persistent aquatic contaminants.