Hydroxy functionalization of cations in ionic liquids (ILs) can lead to formation of hydrogen bonds between their OH groups, resulting in so-called (c−c) H-bonds. Thereby, the (c−c) H-bonds compete with regular H-bonds (c−a) between the OH groups and the anions. Polarizable cations, weakly interacting anions, and long alkyl chains at the cation support the propensity for the formation of (c−c) H-bonds. At low temperatures, the equilibrium between (c− c) and (c−a) H-bonds is strongly shifted in favor of the cation−cation interaction. Herein, we clarify the pressure dependence on (c−c) and (c−a) H-bond distributions in the IL 1-(2-hydroxyethyl)-3-methylimidazolium hexafluorophosphate [HOC 2 C 1 Im][PF 6 ], in mixtures of [HOC 2 C 1 Im][PF 6 ] with the nonhydroxy-functionalized IL 1-propyl-3-methylimidazolium hexafluorophosphate [C 3 C 1 Im][PF 6 ] and in [HOC 2 C 1 Im][PF 6 ] including trace amounts of water. The infrared (IR) spectra provide clear evidence that the (c−c) H-bonds diminish with increasing pressure in favor of the (c−a) H-bonds. Adding trace amounts of water results in enhanced (c−c) clustering due to cooperative effects. At ambient pressure, the water molecules are involved in the (c−c) H-bond motifs. Increasing pressure leads to squeezing them out of H-bond clusters, finally resulting in demixing of water and the IL at the microscopic level.