Few studies have reported the performance of Polylactic acid (PLA) flax feedstock composite for additive manufacturing. In this work, we report a set of experiments conducted by fused filament technology on PLA and PLA-flax with the aim of drawing a clear picture of the potential of PLA-flax as a feedstock material. Nozzle and bed temperatures are both combined with the printing angle to investigate their influence on structural and mechanical properties. The study shows a low sensitivity of PLA-flax to process parameters compared to PLA. A varied balance between shearing and uniaxial deformation is found consistent with tensile results where filament crossing at −45/+45° provides the optimal load-bearing capabilities. However, Scanning Electron Microscopy (SEM) and high-speed camera recording shows a limiting reinforcing effect of flax fibre due to the presence of intra-filament porosity and a significant amount of fibre pull-out resulting from the tensile loading. These results suggest that the quality of the bond between PLA matrix and flax fibre, intra-filament porosity, and surface roughness should receive more attention as well as the need for more continuous fibre reinforcement in PLA filaments to optimise the performance of PLA-flax printed materials.