When dealing with papermaking fiber suspensions, particle flocculation takes place even before the paper web is formed. The particle flocculation depends on several aspects, including particle mass concentration (consistency), particle collisions, electrochemical interactions promoted by chemical additives, etc. Due to its importance, fiber suspension flocculation has been studied for a long time in papermaking, and several methods have been developed for this purpose. The traditional techniques include, for example, focused beam reflectance microscopy (FBRM) and high-speed video imaging (HSVI). Recently, a new optical method, optical coherence tomography (OCT), has emerged for flocculation analysis. The advantages of OCT are the possibility to study opaque suspensions, its micron-level resolution, and its high data acquisition speed. The OCT measurements can be combined with rheological (Rheo) measurements, allowing simultaneous measurement of both the time evolution of the floc size and the suspension viscosity. In this work, we used this approach, Rheo-OCT, to study the flocculation of suspensions of various papermaking furnishes. We analyzed the time evolution of the floc size and the fiber suspension viscosity when the studied papermaking suspensions were treated with highly refined furnish (HRF) - a furnish that contained a significant amount of micofibrillated cellulose (MFC)-type fibrils - and/or chemical additives. Such studies can lead to a better understanding of the impact of flocculation on the produced paper web in terms of qualities like formation, drainage potential, and strength behavior. Application: Readers of this research can use the results to improve their understanding of fiber suspension flocculation in papermaking and learn about a new method, Rheo-OCT, that can be used in such studies. In addition, the insights gained in this study regarding the effect of HRF and chemical additives on flocculation can lead to improvements in paper formation, drainage potential, and strength properties.