Horizontal well, dissolver, nitrogen, and steam (HDNS) combined flooding is mainly applied to shallow and thin heavy oil reservoirs to enhance oil recovery. Due to the lack of pore-scale mechanism studies, it is impossible to clarify the oil displacement mechanism of each slug in the process combination and the influence of their interaction on enhanced oil recovery (EOR). Therefore, in this study, HDNS combined flooding technology was simulated in a two-dimensional visualization microscopic model, and three viscosity reducer systems and multi-cycle combined flooding processes were considered. In combination with an emulsification and viscosity reduction experiment, two-dimensional microscopic multiphase seepage experiments were carried out to compare the dynamic seepage law and microscopic occurrence state of multiphase fluids in different systems. The results showed that the ability of three viscosity reducers to improve viscosity reduction efficiency in HDNS combined flooding was A > B > C, and their contributions to the recovery reached 65%, 41%, and 30%, respectively. In the system where a high viscosity reduction efficiency was shown by the viscosity reducer, the enhancements of both sweeping efficiency and displacement efficiency were primarily influenced by the viscosity reducer flooding. Steam flooding collaborated to improve displacement efficiency. The thermal insulation characteristics of N2 flooding may not provide a gain effect. In the system where a low viscosity reduction efficiency was shown by the viscosity reducer, the steam flooding was more important, contributing to 57% of the sweeping efficiency. Nitrogen was helpful for expanding the sweep area of the subsequent steam and viscosity reducer, and the gain effect of the thermal insulation steam chamber significantly improved the displacement efficiency of the subsequent steam flooding by 25%. The interaction of each slug in HDNS combined flooding resulted in the additive effect of increasing production. In actual production, it is necessary to optimize the process and screen the viscosity reducer according to the actual conditions of the reservoir and the characteristics of different viscosity reducers.