In a screw-type centrifugal pump, the pump head deteriorates from single-phase flow to the choke due to an increased air entrainment at a wide tip clearance compared to that of a narrow tip clearance. Moreover, at a narrow tip clearance, the pump head became partially higher in a two-phase flow than that of a single-phase flow near the best efficiency point in low void fraction region. Therefore, we observed the internal flow pattern by using a stroboscope and we measured the mean size of bubbles from the images obtained with a high speed camera. Then, we investigated the influences of the mean size of bubbles, tip clearances and flow patterns on pump performance.