We study the generation and flow of foam through rough-walled, fractured marble rocks that mimic natural fracture systems in carbonate reservoirs. Flow was isolated to the fracture network because of the very low rock permeability of the marble samples and foam generated in situ during co-injection of surfactant solution and gas. The foam apparent viscosities were calculated at steady pressure gradients for a range of gas fractions, and similar to foam flow in porous media, we identified two flow regimes for foam flow in fractures: a high-quality flow regime only dependent on liquid velocity and a low-quality flow regime determined by the gas and liquid velocities. Variations in local fluid saturation during co-injection were visualized and quantified using positron emission tomography combined with computed tomography.