In recent decades, English taught programmes have rapidly increased in number throughout Europe and East Asia as universities aim to internationalise their curriculum, which has given rise to an increase in English-medium instruction (EMI). This study aims to compare the teaching experiences at three EMI programmes in The Netherlands, China, and Japan in response to calls for more comparative research on the pedagogical issues associated with teaching through English in non-Anglophone contexts. Interviews were conducted with 19 teachers in managerial and classroom-facing roles, working within comparable undergraduate English-taught business degree programmes across the three contexts. Data were thematically analysed for convergent and divergent experiences. Findings indicated similarity between the Chinese and Japanese contexts compared to the Netherlands, highlighting greater concerns surrounding student proficiency, teacher competence, and the overall impact of EMI on educational quality. Unique solutions were uncovered to inform better content and language integration in EMI practices.