3D printing of ultra high performance fiber reinforced concrete (UHPFRC) suffers from high shrinkage and poor interlayer properties. To mitigate these problems, this study develops new mixtures of UHPFRC materials containing coarse aggregates (CA), and critically examines their suitability for 3D printing (3DP). Totally 90 mould-cast and 3DP cylinder and beam specimens with different CA sizes (5–15 mm) and CA-binder ratios (0.3–0.5) were tested under compression and bending in three directions. The internal distribution and volume fractions of steel fibers and pores and the crack trajectories were characterized and analysed by micro X-ray CT scanned 3D images with 37 μm voxel resolution. The results show that adding more and bigger CAs into UHPFRC reduced the flowability but enhanced the buildability with desired extrudability achieved by adjusting 3D printing velocity. Although the compressive strength of the 3DP cylinders was 15–42 % lower than that of the mould-cast ones due to higher porosities, over 100 MPa strength was still achieved for all the 3DP cylinders with less than 10 % anisotropy. The CT images did not show evident interlayers and interlayer delamination under compression, indicating the new 3DP mixtures and printing parameters may have highly promoted cement hydration. The flexural strength of 3DP beams was 3–34 % higher than that of the cast ones, because most fibres were oriented in the printing or beam axis direction as represented by overall orientation indices calculated from CT images, thereby providing significant crack-bridging effects. The developed new mixtures are therefore well suited for 3D printing, particularly for fabrication of structural members with preferred fibre orientation, such as beams, slabs and shells.