The effect of Ca addition on the as-cast microstructure and creep properties of Mg-5Zn-5Sn magnesium alloy was investigated. The results indicate that adding 1.0 wt.% Ca to Mg-5Zn-5Sn alloy can effectively refine the as-cast microstructure of the alloy, and the CaMgSn phase with high thermal stability is formed in the alloy. In addition, adding 1.0 wt.% Ca to Mg-5Zn-5Sn alloy can also improve the creep properties of the alloy. After adding 1.0 wt.% Ca to Mg-5Zn-5Sn alloy, the second creep rate of the alloy at 150°C and 50 MPa for 100 h decreases from 4.67 × 10 −8 to 1.43 × 10 −8 s −1 . The strengthening mechanism is mainly attributed to the microstructural refinement and the formation of CaMgSn phase.