An embroidery sewing machine with a printing function includes a sewing machine body having a bed, a foot, an arm, and capable of sewing a workpiece cloth by a sewing unit; a cloth holding frame holding the workpiece cloth; a frame drive unit moving the cloth holding frame independently in two mutually perpendicular directions in a horizontal plane; an ink-jet printer having a print head printing the workpiece cloth. The print head of the printer includes nozzle arrays with each nozzle array having a plurality of ink-jet nozzles aligned parallel in the first direction, and the printer prints the workpiece cloth while moving the cloth holding frame in the second direction.