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Using solid waste-based materials, such as recycled building aggregate (RCA), preparing 3D-printed materials can reduce costs but increase the water–cement ratio of the printed material, which reduces its mechanical performance. In order to solve the problem of mechanical properties decline caused by an increase in the w/c ratio, this experiment found that adding calcined salt mud (CSM) to the printing materials and changing the water-to-cement ratio from 0.37 to 0.4 CSM can ensure that the compressive strength of the printing materials remains basically unchanged. Moreover, through TG, SEM, and other microscopic data, it can be seen that calcium hydroxide in CSM can not only participate in the synergistic reaction of ethylene/vinyl acetate copolymer (EVA) and dust ash (DA), produce more NaOH, and promote the hydration of granulated blast furnace slag (GBFS) but also promote the formation of ettringite together with SO42− in solution, optimizing pore size distribution.

Traditional lightweight foam concrete typically introduces a large number of voids into the concrete using surfactants to reduce density. However, in 3D printing, the instability of lightweight foam concrete can affect the workability of the slurry. Additionally, the lower strength of foam with more pores also reduces its mechanical performance. This study found that by replacing sand with expanded perlite in 3D-printed foam concrete, the stability of the foam is improved, enhancing the workability of the mixture and increasing the constructability of printed concrete. Furthermore, analyses of mechanical properties, porosity, and pore size distribution showed that at the same dry density, foam concrete with a higher expanded perlite replacement ratio exhibited higher compressive strength, with a maximum strength increase of up to 39%. Moreover, the introduction of expanded perlite optimized the pore distribution of the foam concrete, resulting in a more uniform material structure. The 3D-printed expanded perlite–foam concrete (3DPFC) prepared in this study provides new insights for the preparation of lightweight 3D-printed concrete, which is of significant importance for the sustainable development of the construction industry.