Suspensions of finite-size solid particles in a turbulent pipe flow are found in many industrial and technical flows. Due to the ample parameter space consisting of particle size, concentration, density and Reynolds number, a complete picture of the particle–fluid interaction is still lacking. Pressure drop predictions are often made using viscosity models only considering the bulk solid volume fraction. For the case of turbulent pipe flow laden with neutrally buoyant spherical particles, we investigate the pressure drop and overall drag (friction factor), fluid velocity and particle distribution in the pipe. We use a combination of experimental (MRV) and numerical (DNS) techniques and a continuum flow model. We find that the particle size and the bulk flow rate influence the mean fluid velocity, velocity fluctuations and the particle distribution in the pipe for low flow rates. However, the effects of the added solid particles diminish as the flow rate increases. We created a master curve for drag change compared to single-phase flow for the particle-laden cases. This curve can be used to achieve more accurate friction factor predictions than the traditional modified viscosity approach that does not account for particle size. Display omitted •Combined experimental/numerical study in turbulent pipe flow with spherical particles.•Variations of flow rate, particle size and concentration in multiple flow setups and with DNS.•Non-trivial effects on pressure loss, velocity statistics and particle distribution.•A general normalized drag increase curve is obtained, together with a scaling parameter.•Particle size in relation to the friction length and the pipe diameter and conc. determine drag.