Understanding how bubbles influence the efficiency of water electrolysis is crucial to achieve economically competitive hydrogen, generated by renewable energy sources, such as wind and solar power. Water electrolysis is typically performed at high pressures to reduce the cost of energy-intensive mechanical compression of the produced H2. Thus, a better understanding of how the absolute pressure affects electrochemical performance and bubble size is necessary. In general, bubble sizes decrease as the pressure increases. Using different-sized pillar-patterned Ni electrodes generated by Direct Laser Writing, the detached bubble sizes can be modified even at elevated pressures. As the pillar size increases, the bubbles become larger at all pressures investigated from 1 to 6 bar. At a current density of -25 mA/cm2, the cathodic potential increases with pressure according to the thermodynamic voltage losses given by the Nernst equation (~ 23 mV at p = 6 bar). Surprisingly, increasing the current density to 100 mA/cm2 leads to a reduction of the overpotential by up to ~ 60 mV. Reduced bubble sizes at increased pressures minimize the losses caused by the bubbles, thereby compensating for the thermodynamic voltage penalty. Applying the Buckingham Π-theorem enables the derivation of dimensionless numbers to characterize the ratio of bubble-induced and thermodynamic voltage losses