A simultaneous visualization and measurement experiment was carried out to investigate condensation flow patterns of steam flowing through an array of trapezoidal silicon microchannels, having a hydraulic diameter of 82.8 μm and a length of 30 mm. The degassed and deionized water steam flowing in the microchannels was cooled by flowing water of 8 °C from the bottom. The silicon microchannels were covered with a thin transparent pyrex glass from the top which enabled the visualization of flow patterns. Experiments were performed at different inlet pressures ranging from 4.15 × 10 5 Pa to 1.25 × 10 5 Pa (with corresponding mass fluxes decreasing from 47.5 g/cm 2 s to 19.3 g/cm 2 s) while the outlet pressure was maintained at a value of 10 5 Pa. Different condensation flow patterns such as fully droplet flow, droplet/annular/injection/slug-bubbly flow, annular/injection/slug-bubbly flow, and fully slug-bubbly flow were observed in the microchannels. At a given inlet pressure and mass flux, the flow pattern depended on both the location and time. Of particular interest is that the vapor injection flow, consisting of a series of bubble growth and detachment activities, appeared and disappeared periodically. During the disappearance period of injection flow, the slug-bubbly flow at downstream changed to the single-phase liquid flow due to the reversed flow of outlet condensate, while the annular flow at upstream changed to the vapor flow due to the effect of incoming vapor. Therefore, two-phase flow and single-phase flow appeared alternatively in the microchannels, causing large fluctuations of wall temperatures as well as other measurements. It was also found that the occurrence of vapor injection flow moved from the outlet toward the inlet as the mass flux was decreased. The vapor injection flow and its induced condensation instabilities in microchannels are reported here for the first time.