Reference: Print PDF as image | Adobe Acrobat, Reader
Print PDF as an image
Problems can occur when you print a PDF file. For example, a PDF file can contain damaged content such as images or fonts that Acrobat cannot process during printing. Printing a PDF file as an image bypasses that processing by sending the printer a simple image of the document instead. This process can cause images and fonts to look slightly rougher, especially at the edges. However, you can specify the resolution in dots per inch (dpi) to suit your needs.
1. Ensure that your printer is turned on and connected.
If necessary, test print a different file.
2. Choose File > Print, and then click Advanced.
The location of the Advanced button depends on the version of Reader or Acrobat.
Mac OS: If you don't see the Advanced button, click the Down Arrow (to the right of the Printer pop-up menu).
3. Select Print as Image.
The location of the Print as Image options depends on the version of Reader or Acrobat.