Oocyte quality is one of the important factors in female fertility, in vitro maturation (IVM), and subsequent embryonic development. In the present study, we assessed whether acetyl-l-carnitine (ALC) supplementation during in vitro maturation of buffalo oocytes could improve oocyte quality and subsequent embryonic development. To determine the optimal level of ALC supplementation, we matured cumulus-oocyte complexes in maturation medium supplemented with 0, 2.5, and 5āÆmM ALC. The oocytes with a polar body were selected for parthenogenetic activation (PA) and in vitro fertilization (IVF). We found that oocytes matured in 2.5āÆmM ALC had significantly higher PA blastocyst rate (PāÆ<āÆ0.05) and blastocyst cell number than those of unsupplemented oocytes (PāÆ<āÆ0.05) and a significantly higher IVF blastocyst rate than that of oocytes matured in 5āÆmM ALC (PāÆ<āÆ0.05). In all further experiments, we supplemented the maturation medium with 2.5āÆmM ALC. We then tested whether ALC supplementation could improve various markers of oocytes and cumulus cells. We compared cell proliferation; concentrations of reactive oxygen species (ROS), intracellular ATP, estradiol, and progesterone; mitochondrial distribution; mitochondrial DNA copy number (mtDNA); and expression levels of four genes encoding oocyte-derived factors (GDF9, BMP15) and steroid hormones (StAR, P450scc) between the supplemented and unsupplemented oocytes and cumulus cells. Cumulus cells matured with ALC supplementation were more prolific than those matured without ALC supplementation (PāÆ<āÆ0.05). Oocytes treated with ALC had lower concentrations of intracellular ROS (PāÆ<āÆ0.05) and a higher rate of diffuse mitochondrial distributions (PāÆ<āÆ0.05) than those of untreated oocytes. Additionally, the mtDNA was higher in the ALC-treated oocytes (PāÆ<āÆ0.05) and cumulus cells (PāÆ<āÆ0.05) than that in the untreated cells. The ALC-treated maturation medium had a higher postmaturation concentration of estradiol than that of the untreated medium (PāÆ<āÆ0.05). Finally, the gene expression levels of P450scc and GDF9 were greater in ALC-treated oocytes and cumulus cells than those in untreated cells (PāÆ<āÆ0.05). Therefore, in buffalo, our results suggest that ALC affects mitochondrial function, regulates oocyte-derived paracrine factors, and increases the production of steroid hormones, leading to increased quality of matured oocytes and improved embryonic development in vitro.