The high-pressure response of pentaerythritol crystals has been examined to 10 GPa in diamond-anvil cells using angle-dispersive synchrotron X-ray diffraction and Raman spectroscopy. The results reveal two first-order phase transitions: one at 4.8 GPa from phase 1, tetragonal I (4) over bar (S-4(2)), to phase II, orthorhombic Pnn2(C-2v(10)) with a small -0.5% volume change, and the other at 7.2 GPa to phase III with an unknown crystal structure. We found that phase I exhibits a large crystallographic anisotropy which rapidly decreases with increasing pressure: the ratio of linear compressibilities between two primary crystal axes decreases from 8.1 at 1 atm to beta(P) = 2.6 at 4 GPa. We suggest that this apparent decrease in crystal anisotropy is due to the disruption of hydrogen bonding in the (001) plane of phase I and eventually leads to an orthorhombic distortion from a quadrilateral network structure in phase I to a quasi one-dimensional structure in phase II. The crystal structure of phase III exhibits a disordered character, and it is likely a conformational variant of phase II.