A medium pressurizing device includes: two rotating bodies that rotate and allow a recording medium held in a contact part to pass; a pressurizing member that applies, to one of the rotating bodies, a pressure of pressing the one toward the other; a drive roll disposed downstream from the contact part in a conveyance direction, and rotating thereby transmitting a conveyance driving force to the recording medium; and a following roll contacting the drive roll, and rotating by following rotation of the drive roll, thereby conveying the recording medium held therebetween. The device further includes: an axis member rotating by receiving a driving force; and a cam member fixed to the axis member, acting on the pressurizing member, and following rotation of the axis member, thereby changing the pressure. The following roll has a hollow, and the axis member is disposed to pass through a space in the hollow.