The growing demand for construction materials has intensified concerns regarding natural sand depletion and the accumulation of industrial waste. Among these wastes, oil-contaminated sand (OCS) generated from petroleum-related activities presents environmental challenges while also offering potential for beneficial reuse. Previous studies have reported that low OCS contents can enhance workability and improve mechanical properties, highlighting its potential as a sustainable construction material. This study investigates the feasibility of incorporating OCS as a partial replacement for natural sand in 3D concrete printing (3DCP). Three mixes containing 0%, 0.5%, and 1% OCS were evaluated in terms of flowability, setting behaviour, printability, rheological response, hydration behaviour, mechanical performance, anisotropic response, and microstructural characteristics. The results showed that OCS incorporation had only a limited influence on flowability, while both the initial and final setting times exhibited noticeable delays. The maximum printable layers reached from 19 for the control mixture to 22 and 26 layers for the 0.5% and 1% OCS mixes, respectively, accompanied by reduced settlement and structural deformation. Rheological analysis revealed higher static yield stress and structuration rates for the OCS-modified mixes, contributing to enhanced buildability and geometric stability. Hydration calorimetry showed comparable heat-flow behaviour between the control and OCS-modified mixes, suggesting only a limited influence of OCS on cement hydration kinetics. The incorporation of OCS improved the compressive strength of the printed mixes and reduced compressive anisotropy, while SEM observations revealed a denser and more homogeneous microstructure, particularly for the 0.5% OCS mix. Thus, the findings indicate that low-level incorporation of oil-contaminated sand is a viable strategy for improving the printability and performance of 3D-printed concrete, promoting the sustainable reuse of contaminated industrial waste.