How to pronounce pathology in American English
puh·THAH·luh·jee
Start here
Americans pronounce pathology as puh-THAH-luh-jee (/pəˈθɑlədʒi/). The unstressed syllable reduces to a lazy schwa — almost a quick "uh" — instead of being pronounced fully. Stress falls on the second syllable — keep everything else short and quick.
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In real conversation
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Watch out
Common pronunciation mistakes in American English.
The textbook way isn't wrong — it's just not how anyone actually says it.
01
Stressing the wrong syllable.
Stress falls on the second syllable, not the others. Stretch THAH — keep everything else short and quick.
PUH·thah·LUH·JEE→puh·THAH·luh·jee
02
Pronouncing the first syllable too fully.
Don't pronounce the first syllable too fully. The unstressed syllable reduces to a schwa — the lazy "uh" sound — in casual speech.
PUH·THAH·luh·jee→puh·THAH·luh·jee
Questions
Questions people ask about this.
How is "pathology" stressed in American English?
Stress falls on the second syllable — say "THAH" with a longer, fuller vowel and keep every other syllable short and quick. The respell "puh-THAH-luh-jee" marks the stressed syllable in capitals so the rhythm is easy to read at a glance.
Why does the first syllable in "pathology" reduce to "uh"?
Unstressed syllables in American English collapse toward a schwa — a lazy, neutral "uh" sound. The full vowel is what textbooks teach, but in actual American speech every unstressed vowel reduces. The respell "puh-THAH-luh-jee" shows the reduced form so you can hear the casual rhythm directly.
Is the American pronunciation of "pathology" different from British English?
American English uses different vowel shapes, a relaxed retroflex R, and connected-speech tricks like flap-T and glottal-stop T that British Received Pronunciation generally avoids. The respell "puh-THAH-luh-jee" reflects the casual American form; British dictionaries typically print a citation form with crisper consonants and different vowel choices.