We abstract and study \emph{reachability preservers}, a graph-theoretic primitive that has been implicit in prior work on network design. Given a directed graph $G = (V, E)$ and a set of \emph{demand pairs} $P \subseteq V \times V$, a reachability preserver is a sparse subgraph $H$ that preserves reachability between all demand pairs. Our first contribution is a series of extremal bounds on the size of reachability preservers. Our main result states that, for an $n$-node graph and demand pairs of the form $P \subseteq S \times V$ for a small node subset $S$, there is always a reachability preserver on $O(n+\sqrt{n |P| |S|})$ edges. We additionally give a lower bound construction demonstrating that this upper bound characterizes the settings in which $O(n)$ size reachability preservers are generally possible, in a large range of parameters. The second contribution of this paper is a new connection between extremal graph sparsification results and classical Steiner Network Design problems. Surprisingly, prior to this work, the osmosis of techniques between these two fields had been superficial. This allows us to improve the state of the art approximation algorithms for the most basic Steiner-type problem in directed graphs from the $O(n^{0.6+\varepsilon})$ of Chlamatac, Dinitz, Kortsarz, and Laekhanukit (SODA'17) to $O(n^{4/7+\varepsilon})$.