Titanium alloys are widely used in various technological fields due to their excellent performance. Since the early stages of the 3D printing concept, these alloys have been intensively used as materials for these processes. In this work, the evolution of the performance of the 3D printing process has been studied by analysing the microstructure and the mechanical properties, fatigue and tensile, of the Ti gr. 23 alloy produced by two different models of Concept Laser M2 Cusing machines (an old model and a more recent one). The process parameters recommended by the manufacturer were adopted for each machine. Both microstructural and surface texture characterisations were carried out to better correlate the differences with the production process technique. For the same purpose, tensile tests and microhardness profiles were obtained, while the dynamic mechanical properties were evaluated by means of fatigue tests aimed at determining the fatigue limit of the material using a staircase approach. The mechanical tests were carried out on specimens with three different orientations with respect to the building platform, using two different SLM techniques. The fatigue behaviour was then analysed by evaluating the fracture surfaces and, in particular, the crack nucleation sites. By comparing the calculated fatigue values with the results of local fatigue calculations, an estimate of the residual stresses near the crack nucleation site was obtained. The results showed that the specimens produced on a newer machine had lower roughness (about 10%), slightly higher ductility, and a higher fatigue limit (10–20 MPa) compared to the specimens produced with the same material but on older equipment.