High-resolution X-ray imaging combined with a steady-state flow experiment is used to demonstrate how pore-scale displacement affects macroscopic properties in an altered-wettability microporous carbonate, where porosity and fluid saturation can be directly obtained from the grey-scale micro-CT images. The resolvable macro pores are largely oil-wet with an average thermodynamic contact angle of 120°. The pore-by-pore analysis shows locally either oil or brine almost fully occupied the macro pores, with some oil displacement in the micro-porosity. We observed a typical oil-wet behaviour consistent with the contact angle measurement. The brine tended to occupy the larger macro pores, leading to a higher brine relative permeability, lower residual oil saturation, than under water-wet conditions and in a mixed-wet sandstone. The capillary pressure was negative and seven times larger in the carbonate than the sandstone, despite having a similar average pore size. These different displacement patterns are principally determined by the difference in wettability.