3D printing technology (3DP) has provided new design and structural opportunities for cement-based systems (CBS) in architectural construction. However, there are still some issues related to extrudability and buildability of CBS, which can be overcome by using components for CBS rheology control. In this study, three types of nanoclays, a bentonite (BEN), a sepiolite (SEP) and an attapulgite (ATT), and two viscosity modifying admixtures (VMAs), a poly-acrylamide (VMA1) and a methylcellulose ether (VMA2), were added to a reference cement-fly ash 3D printing paste to evaluate their impact on CBS rheological properties and their implications in extrusion and buildability for 3DP. A polycarboxylate-ether based high range water-reducing admixture (HRWRA) was used to reach a target stiff consistency. Four laboratory tests were used to assess paste rheology, extrusion and structural build-up. Proper and deficient material extrusion limits were defined considering cohesion and initial yield stress. It was found that the combination of VMA2 and SEP increased cohesion, enhancing extrusion and avoiding water drainage and frictional behavior of pastes, producing properly extrudable paste. SEP by itself also improved structural build-up. Besides, samples with NC and VMAs required larger amounts of HRWRA, delaying cement setting and compressive strength gain.